Mickey Marshall in Berkeley - School

Mickey Marshall - NPI 1992913495

Mickey Marshall is a School in Berkeley, California. Mickey Marshall practices all healthcare services and medical treatments related to School. The NPI Number for Mickey Marshall is 1992913495. The last update date is 2022-01-03.

Mickey Marshall's current location address is 3200 Adeline St, Berkeley, California. You can contact this provider via phone number 5106010203 and fax number 5106014002. The mailing address for Mickey Marshall is 3200 Adeline St, Berkeley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mickey Marshall
Address 3200 Adeline St, Berkeley, California
Phone Number 5106010203
Fax Number 5106014002
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1992913495
Provider Enumeration Date 2007-05-18
Last Updated Date 2022-01-03

Provider Mailing Address Detail

Address 3200 Adeline St
City Berkeley
State California (CA)
Post Code 947032407
Phone Number 5106010203
Fax Number 5106014002

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 103Ts0200X
Definition:
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide

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FAQs about Mickey Marshall

What is the Mickey Marshall's unique identification number?

The Mickey Marshall has been assigned the NPI (National Provider Identifier) Number 1992913495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Mickey Marshall is geographically located?

The Mickey Marshall is physically situated at the following location: 3200 Adeline St, Berkeley, CA, 947032407.

What is the area of specialization for Mickey Marshall, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mickey Marshall is School, and the corresponding taxonomy code that categorizes this area of expertise is 103Ts0200X.

On what date did the Mickey Marshall receive its 1992913495 assignment from the Centers for Medicare & Medicaid Services?

The Mickey Marshall was assigned its 1992913495 by the Centers for Medicare & Medicaid Services on 2007-05-18.

As of what date was the information regarding Mickey Marshall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mickey Marshall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-03.

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