Provider Demographics
NPI:1710911763
Name:ORSBERN, MARNI LEIGH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARNI
Middle Name:LEIGH
Last Name:ORSBERN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:MARNI
Other - Middle Name:LEIGH
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8337 TELEGRAPH RD STE 115
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-4940
Mailing Address - Country:US
Mailing Address - Phone:562-467-5440
Mailing Address - Fax:562-467-5553
Practice Address - Street 1:8337 TELEGRAPH RD STE 300
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-4957
Practice Address - Country:US
Practice Address - Phone:562-467-5440
Practice Address - Fax:562-467-5553
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19377103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist