Provider Demographics
NPI:1316005929
Name:GARRITY, MARIANNE (RN)
Entity Type:Individual
Prefix:MISS
First Name:MARIANNE
Middle Name:
Last Name:GARRITY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:CARPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013-2421
Mailing Address - Country:US
Mailing Address - Phone:805-684-2724
Mailing Address - Fax:
Practice Address - Street 1:750 OLIVE AVE
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-2421
Practice Address - Country:US
Practice Address - Phone:805-684-2724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA264358101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional