Marshall, Mary
Marshall, Mary is an sole proprietor health care provider with primary practice located at 406 W 34Th St # 501 , Kansas City MO 64111-2778. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Marshall, Mary can be contacted via phone (913) 735-9931.Contact Information
Primary practice address
406 W 34Th St # 501
Kansas City MO 64111-2778
Phone: (913) 735-9931
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0089 | Kansas |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 00376 | Missouri |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 00376 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1328 | Kansas |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | 00376 | Missouri |
Profile Details
| NPI number | 1760529457 |
|---|---|
| LBN Legal business name | Marshall, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Aug 20th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760529457 | NPPES |
| Missouri | MEDICAID | 496729120 |
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