Provider Demographics
NPI:1376897900
Name:ALBERT, MARCI PATRICIA (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:PATRICIA
Last Name:ALBERT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 CHESTNUT ST
Mailing Address - Street 2:PO BOX 448
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1804
Mailing Address - Country:US
Mailing Address - Phone:603-668-1920
Mailing Address - Fax:603-666-4571
Practice Address - Street 1:1 JUNKINS AVE
Practice Address - Street 2:SUITE # 2
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4561
Practice Address - Country:US
Practice Address - Phone:603-433-3109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH931101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health