Provider Demographics
NPI:1093862856
Name:MARX, EVELYN LINDA (LCSW-C, PHD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:LINDA
Last Name:MARX
Suffix:
Gender:F
Credentials:LCSW-C, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E CHESAPEAKE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5338
Mailing Address - Country:US
Mailing Address - Phone:410-296-6334
Mailing Address - Fax:
Practice Address - Street 1:101 E CHESAPEAKE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5338
Practice Address - Country:US
Practice Address - Phone:410-296-6334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD030731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical