Provider Demographics
NPI:1043925951
Name:MARCHESCHI, IAN
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:
Last Name:MARCHESCHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8933 E UNION AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VLG
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1357
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8933 E UNION AVE STE 220
Practice Address - Street 2:
Practice Address - City:GREENWOOD VLG
Practice Address - State:CO
Practice Address - Zip Code:80111-1357
Practice Address - Country:US
Practice Address - Phone:970-903-5053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00014739103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling