Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PS016055 | PA |
NPI | 1033314018 |
---|---|
Provider Name | Michael P Marshal |
First Address | Pittsburgh, PA 15206-4450 |
Second Address | Pittsburgh, PA 15206-4450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 02/03/2018 |