Provider Demographics
NPI:1902855547
Name:MARR, DANIEL S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:MARR
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 604
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8165
Mailing Address - Country:US
Mailing Address - Phone:561-637-2224
Mailing Address - Fax:561-637-4446
Practice Address - Street 1:5300 W ATLANTIC AVE
Practice Address - Street 2:SUITE 604
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8165
Practice Address - Country:US
Practice Address - Phone:561-637-2224
Practice Address - Fax:561-637-4446
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7305103TA0400X, 103TA0700X, 103TB0200X, 103TC0700X, 103T00000X, 103TC1900X, 103TF0000X, 103TH0100X, 103TM1800X, 103TP2701X, 103TR0400X, 103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75362Medicare PIN