Provider Demographics
NPI:1104020650
Name:MARCHESE, KAMI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KAMI
Middle Name:
Last Name:MARCHESE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 WOODBOURNE RD
Mailing Address - Street 2:STE 302
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1834
Mailing Address - Country:US
Mailing Address - Phone:215-750-5525
Mailing Address - Fax:215-750-5538
Practice Address - Street 1:622 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2720
Practice Address - Country:US
Practice Address - Phone:610-272-2356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016241103T00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist