Provider Demographics
NPI:1477202299
Name:TANOFSKY, MARIAN BETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:BETH
Last Name:TANOFSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MARIAN
Other - Middle Name:TANOFSKY
Other - Last Name:KRAFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9010 BURNING TREE RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3047
Mailing Address - Country:US
Mailing Address - Phone:301-455-3701
Mailing Address - Fax:
Practice Address - Street 1:9010 BURNING TREE RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3047
Practice Address - Country:US
Practice Address - Phone:301-455-3701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-20
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024237-01103T00000X
MD04298103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist