Provider Demographics
NPI:1760432942
Name:GETZ, MARC STEVEN (LCPC)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:STEVEN
Last Name:GETZ
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-0419
Mailing Address - Country:US
Mailing Address - Phone:410-838-4647
Mailing Address - Fax:410-893-5810
Practice Address - Street 1:26 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3703
Practice Address - Country:US
Practice Address - Phone:410-838-4647
Practice Address - Fax:410-893-5810
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0892101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7868342OtherAETNA
MD2096285OtherCIGNA BEHAVIORAL HEALTH
MD1X82OtherCAREFIRST MARYLAND
MDF624 0001OtherCAREFIRST DC
MDPVBP173034OtherAPS HEALTHCARE