Provider Demographics
NPI:1093934952
Name:MARSHALL, JAMES P (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 NEW MOON CT
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-5385
Mailing Address - Country:US
Mailing Address - Phone:919-817-6754
Mailing Address - Fax:
Practice Address - Street 1:1411 NEW MOON CT
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-5385
Practice Address - Country:US
Practice Address - Phone:919-817-6754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM0610008106H00000X
UT5264830-3902106H00000X
NC1639106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist