Provider Demographics
NPI:1619345345
Name:SARAH C MARSHALL PH D PC
Entity Type:Organization
Organization Name:SARAH C MARSHALL PH D PC
Other - Org Name:BERKSHIRE MEMORY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:413-445-9944
Mailing Address - Street 1:197 SOUTH ST
Mailing Address - Street 2:DOCTOR'S PARK BLDG. A
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6893
Mailing Address - Country:US
Mailing Address - Phone:413-445-9944
Mailing Address - Fax:949-863-6452
Practice Address - Street 1:197 SOUTH ST
Practice Address - Street 2:DOCTOR'S PARK BLDG. A
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6893
Practice Address - Country:US
Practice Address - Phone:413-445-9944
Practice Address - Fax:949-863-6452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7350103G00000X
MA8844103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty