Provider Demographics
NPI:1548572100
Name:MARNELL, MAUREEN A (MS LPC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:A
Last Name:MARNELL
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 BUCK RD
Mailing Address - Street 2:B34
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1535
Mailing Address - Country:US
Mailing Address - Phone:267-988-8689
Mailing Address - Fax:267-988-8690
Practice Address - Street 1:67 BUCK RD
Practice Address - Street 2:B34
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1535
Practice Address - Country:US
Practice Address - Phone:267-988-8689
Practice Address - Fax:267-988-8690
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-11
Last Update Date:2010-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005191101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional