Provider Demographics
NPI:1598322950
Name:MARRS, DOYLE THOMAS (PHD, LP)
Entity Type:Individual
Prefix:DR
First Name:DOYLE
Middle Name:THOMAS
Last Name:MARRS
Suffix:
Gender:M
Credentials:PHD, LP
Other - Prefix:DR
Other - First Name:TOM
Other - Middle Name:
Other - Last Name:MARRS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LP
Mailing Address - Street 1:4502 ASHLEY STONE CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STA
Mailing Address - State:TX
Mailing Address - Zip Code:77845-1905
Mailing Address - Country:US
Mailing Address - Phone:979-777-5463
Mailing Address - Fax:
Practice Address - Street 1:707 TEXAS AVE S STE 206A
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-1975
Practice Address - Country:US
Practice Address - Phone:979-777-5463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33609103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist