Netherland, Marcia J
Netherland, Marcia J is an individual health care provider with primary practice located at 14734 Amberjack Ter , Lakewood Ranch FL 34202-5800. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Netherland, Marcia J can be contacted via phone (717) 658-0581.Contact Information
Primary practice address
14734 Amberjack Ter
Lakewood Ranch FL 34202-5800
Phone: (717) 658-0581
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC006365 | Pennsylvania |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2019024180 | Missouri |
Profile Details
NPI number | 1558680926 |
---|---|
LBN Legal business name | Netherland, Marcia J |
Credentials | MA, NCC, LPC, TF-CBT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2010 |
Last updated | Feb 16th, 2023 - about last year |
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 | 1558680926 | NPPES |
Pennsylvania | MEDICAID | 102992907 |
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