Provider Demographics
NPI:1326009267
Name:MARSTON, DANIEL CURTISS (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CURTISS
Last Name:MARSTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PITCAIRN
Mailing Address - State:PA
Mailing Address - Zip Code:15140
Mailing Address - Country:US
Mailing Address - Phone:412-380-2695
Mailing Address - Fax:412-380-2695
Practice Address - Street 1:12320 ROUTE 30
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642
Practice Address - Country:US
Practice Address - Phone:412-380-2695
Practice Address - Fax:412-380-2695
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006893L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA170606654OtherVPMC
PA0017834180001Medicaid
PA450024OtherBCBS
PA0017834180001Medicaid