Provider Demographics
NPI:1437971363
Name:MARLA MATHEWS LLC
Entity type:Organization
Organization Name:MARLA MATHEWS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, LMFT
Authorized Official - Phone:267-293-9724
Mailing Address - Street 1:132 VETERANS LN UNIT A-339
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3413
Mailing Address - Country:US
Mailing Address - Phone:267-293-9724
Mailing Address - Fax:267-848-9876
Practice Address - Street 1:132 VETERANS LN UNIT A-339
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3413
Practice Address - Country:US
Practice Address - Phone:267-293-9724
Practice Address - Fax:267-848-9876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty