Provider Demographics
NPI:1972757268
Name:MARCHANDO, GINA LYNNE (LMFT)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:LYNNE
Last Name:MARCHANDO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 SNYDER RD
Mailing Address - Street 2:
Mailing Address - City:DONEGAL
Mailing Address - State:PA
Mailing Address - Zip Code:15628-9704
Mailing Address - Country:US
Mailing Address - Phone:954-608-3965
Mailing Address - Fax:866-381-0360
Practice Address - Street 1:2701 NW 2ND AVE
Practice Address - Street 2:SUITE#201
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6714
Practice Address - Country:US
Practice Address - Phone:954-608-3965
Practice Address - Fax:866-381-0360
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist