Provider Demographics
NPI:1558000778
Name:GOMES, MARCHE (PHD)
Entity Type:Individual
Prefix:MS
First Name:MARCHE
Middle Name:
Last Name:GOMES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MARCHE
Other - Middle Name:DENISE
Other - Last Name:GOMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:110 COLISEUM XING # 138
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5971
Mailing Address - Country:US
Mailing Address - Phone:757-893-0321
Mailing Address - Fax:
Practice Address - Street 1:742 28TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-4104
Practice Address - Country:US
Practice Address - Phone:757-660-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-04
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health