Donna Rosemary Marks
Health Service Clinical Psychologist
186 Cabot St
Beverly
, Massachusetts 01915-5846
Donna Rosemary Marks
Health Service Clinical Psychologist
186 Cabot St
Beverly
, Massachusetts 01915-5846
(978) 646-8862
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About
Features
Specialties
- Clinical Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Donna Rosemary Marks
- 186 Cabot St
- Beverly, MA
- Zip : 01915-5846
- Fax : (978) 646-8862
- Phone : (978) 646-8830
Second Address
- Donna Rosemary Marks
- 186 Cabot St
- Beverly, MA
- Zip : 01915-5846
- Fax : (978) 646-8862
- Phone : (978) 646-8830
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 8540 | MA |
| Y | 103TC0700X | Clinical Psychologist | 8540 | MA |
| N | 103G00000X | Clinical Psychologist | 8540 | MA |
| N | 103TC0700X | Clinical Psychologist | 8540 | MA |
| N | 103TH0100X | Health Service | 8540 | MA |
National Provider Identifier
| NPI | 1376566919 |
|---|---|
| Provider Name | Donna Rosemary Marks |
| First Address | Beverly, MA 01915-5846 |
| Second Address | Beverly, MA 01915-5846 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 09/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| W06489 | BCBSMA (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.