Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2001 | NC |
N | 103T00000X | Psychologist | 2001 | NC |
N | 103TA0700X | Adult Development & Aging Psychologist | 2001 | NC |
Y | 103G00000X | Clinical Psychologist | 2001 | NC |
Y | 103TC0700X | Clinical Psychologist | 2001 | NC |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2001 | NC |
N | 103TF0000X | Family Psychologist | 2001 | NC |
N | 103TH0100X | Health Service | 2001 | NC |
N | 103TM1800X | Intellectual & Developmental Disabilities | 2001 | NC |
N | 103TP2701X | Group Psychotherapist | 2001 | NC |
N | 103TR0400X | Rehabilitation Psychologist | 2001 | NC |
NPI | 1013076645 |
---|---|
Provider Name | Karen Marcus |
First Address | Asheville, NC 28813-0745 |
Second Address | Asheville, NC 28801-2424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 01/04/2009 |