Avery, Marsha Carol

Avery, Marsha Carol is an sole proprietor health care provider with primary practice located at 104 Commons Ct The Commons At Chadds Ford, Chadds Ford PA 19317-9708. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Avery, Marsha Carol can be contacted via phone (610) 358-3500.

Contact Information

Primary practice address
104 Commons Ct The Commons At Chadds Ford Chadds Ford PA 19317-9708
Phone: (610) 358-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X NA Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS005928L Pennsylvania

Profile Details

NPI number 1508060799
LBN Legal business name Avery, Marsha Carol
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
Last updated Jan 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508060799 NPPES
Pennsylvania Other PS005928L PSYCHOLOGIST LICENSE

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