Provider Demographics
NPI:1225353659
Name:MARZO, DONNA CATHERINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:CATHERINE
Last Name:MARZO
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 1:510 N ST SW
Mailing Address - Street 2:#N528
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-4503
Mailing Address - Country:US
Mailing Address - Phone:202-841-1007
Mailing Address - Fax:
Practice Address - Street 1:1608 20TH ST NW
Practice Address - Street 2:#300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1081
Practice Address - Country:US
Practice Address - Phone:202-841-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1000029103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist