Nancy H Marshall, MD

Individual provider Active NPI Psychiatry Physician · St Clair, MI

NPI 1629088679 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629088679
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
4301051834 (MI)
Practice address
132 Trumbull Street
St Clair, MI 48079
Phone
(810) 329-5340
Fax
(810) 329-8964
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Christian Counseling Center Inc Past Accepting new patients
C.W. Enterprise LLC Psychiatry Past Accepting new patients
Professional Counseling Center, P.C. Past
since Jan 1, 1990
Accepting new patients
Renewal Christian Counseling Inc Past
since Nov 16, 2005
Accepting new patients
C.W. Enterprise LLC Psychiatry Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301051834 MI Yes

Addresses

Primary practice location

132 Trumbull Street
St Clair, MI 48079

Mailing address

3171 Conger Street
Port Huron, MI 48060
Phone (810) 985-4073

Other providers in St Clair, MI

All providers in St Clair, MI · Psychiatry Physician in Michigan

Sources for this page

Verify at the official NPI Registry.