Provider Demographics
NPI:1043686777
Name:MARLER, JAMES DONALD (PHD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DONALD
Last Name:MARLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 MESA DR
Mailing Address - Street 2:STE. 345
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3765
Mailing Address - Country:US
Mailing Address - Phone:512-447-5283
Mailing Address - Fax:
Practice Address - Street 1:5806 MESA DR
Practice Address - Street 2:STE. 345
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3765
Practice Address - Country:US
Practice Address - Phone:512-447-5283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22136103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical