Provider Demographics
NPI:1275776072
Name:MARSHALL-HESLIN, BARI L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BARI
Middle Name:L
Last Name:MARSHALL-HESLIN
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 1:225 STATE ROUTE 35
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-530-9330
Mailing Address - Fax:732-530-4145
Practice Address - Street 1:225 STATE ROUTE 35
Practice Address - Street 2:SUITE 104
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-530-9330
Practice Address - Fax:732-530-4145
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4660103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical