Provider Demographics
NPI:1043462245
Name:MARSHALL, ROSEMARIE P (MS, LMHC, CGP)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:P
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MS, LMHC, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CRITTENDEN BLVD.
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-273-5558
Mailing Address - Fax:585-276-0422
Practice Address - Street 1:300 CRITTENDEN BLVD.
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642
Practice Address - Country:US
Practice Address - Phone:585-273-5558
Practice Address - Fax:585-276-0422
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000477101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health