Provider Demographics
NPI:1326272683
Name:POLING, MARJORIE EILEEN (MS, PSY)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:EILEEN
Last Name:POLING
Suffix:
Gender:F
Credentials:MS, PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 EASTERN AVE
Mailing Address - Street 2:SUITE 135
Mailing Address - City:GREENCASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:17225-1100
Mailing Address - Country:US
Mailing Address - Phone:717-597-3151
Mailing Address - Fax:717-597-8933
Practice Address - Street 1:50 EASTERN AVE
Practice Address - Street 2:SUITE 135
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-1100
Practice Address - Country:US
Practice Address - Phone:717-597-3151
Practice Address - Fax:717-597-8933
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007668L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
056845Medicare UPIN