Marc S. Dillworth, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT 0113 Issued in FL

Legal business name

MARC S. DILLWORTH, PH.D.

Practice address

501 Village Green Pkwy
Bradenton, FL 34209-3404

Phone

(941) 794-1009

Fax

(941) 761-5500

NPI assigned

Apr 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Scott Dillworth, PH.D.

Title

Owner

Phone

(941) 794-1009

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1457779902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14566",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342804566",
            "telephone_number": "941-794-1009",
            "fax_number": "941-761-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VILLAGE GREEN PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093404",
            "telephone_number": "941-794-1009",
            "fax_number": "941-761-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC S. DILLWORTH, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "DILLWORTH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-794-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 0113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.