Provider Demographics
NPI:1225589815
Name:MARSDEN & ASSOCIATES, LLC.
Entity Type:Organization
Organization Name:MARSDEN & ASSOCIATES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:MARSDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:757-971-1381
Mailing Address - Street 1:4551 PROFESSIONAL CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6442
Mailing Address - Country:US
Mailing Address - Phone:757-971-1381
Mailing Address - Fax:
Practice Address - Street 1:4551 PROFESSIONAL CIR STE 102
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6442
Practice Address - Country:US
Practice Address - Phone:757-971-1381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty