Provider Demographics
NPI:1427368984
Name:SAFRAN, MARSHA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:
Last Name:SAFRAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 EDGEWATER LN
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-4701
Mailing Address - Country:US
Mailing Address - Phone:845-353-0207
Mailing Address - Fax:
Practice Address - Street 1:6 EDGEWATER LN
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-4701
Practice Address - Country:US
Practice Address - Phone:845-353-0207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006755103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical