Linda Rose Marnic, PH.D.

Individual provider Active NPI Counseling Psychologist · Lost Creek, WV

NPI 1821246950 · NPPES record last updated Jun 25, 2013

Key facts

NPI
1821246950
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
1072 (WV)
Practice address
107 South Street Car Way
Lost Creek, WV 26385
Phone
(304) 745-5065
Fax
(304) 745-5067
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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)
No
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Family Matters Psychological Services PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1072 WV Yes

Addresses

Primary practice location

107 South Street Car Way
Lost Creek, WV 26385

Mailing address

PO Box 490
Lost Creek, WV 26385
Phone (304) 745-5065

Other providers in Lost Creek, WV

All providers in Lost Creek, WV · Counseling Psychologist in West Virginia

Sources for this page

Verify at the official NPI Registry.