Provider Demographics
NPI:1386836138
Name:RORTY, MARCIA ELLEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:ELLEN
Last Name:RORTY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:MARCIA
Other - Middle Name:ELLEN
Other - Last Name:RORTY-GREENFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-1921
Mailing Address - Country:US
Mailing Address - Phone:509-607-6440
Mailing Address - Fax:
Practice Address - Street 1:103 E 4TH AVE STE 208B
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3189
Practice Address - Country:US
Practice Address - Phone:509-607-0287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14102103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical