Provider Demographics
NPI:1568952497
Name:MCCURDY, MARSHA (LCPC-8208)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:LCPC-8208
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13403 N GOVT WAY STE 202
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-8911
Mailing Address - Country:US
Mailing Address - Phone:208-518-1250
Mailing Address - Fax:208-518-2712
Practice Address - Street 1:570 S CLEARWATER LOOP STE B
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-5437
Practice Address - Country:US
Practice Address - Phone:208-777-2169
Practice Address - Fax:208-777-2189
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC6864101YM0800X
IDLCPC-8208101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health