Provider Demographics
NPI:1073850921
Name:PYNE, MARSHA M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:M
Last Name:PYNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E ESPLANADE DR
Mailing Address - Street 2:STE. 1140
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2110
Mailing Address - Country:US
Mailing Address - Phone:805-988-1031
Mailing Address - Fax:
Practice Address - Street 1:500 E ESPLANADE DR
Practice Address - Street 2:STE. 1140
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2110
Practice Address - Country:US
Practice Address - Phone:805-988-1031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS190541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical