Provider Demographics
NPI:1124006176
Name:VARCOE, MARILYN J (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:J
Last Name:VARCOE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5185 CASTELLO DR
Mailing Address - Street 2:STE 3
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-8903
Mailing Address - Country:US
Mailing Address - Phone:239-263-0966
Mailing Address - Fax:239-435-7893
Practice Address - Street 1:5185 CASTELLO DR
Practice Address - Street 2:STE 3
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8903
Practice Address - Country:US
Practice Address - Phone:239-263-0966
Practice Address - Fax:239-435-7893
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6166103T00000X
PAPS001554103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
54562Medicare ID - Type Unspecified