Provider Demographics
NPI:1982039087
Name:MARSH, VIRGINIA MAY (PSY D, M S)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:MAY
Last Name:MARSH
Suffix:
Gender:F
Credentials:PSY D, M S
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 565
Mailing Address - Street 2:348 E. MAIN ST.
Mailing Address - City:REEDSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53959-0565
Mailing Address - Country:US
Mailing Address - Phone:608-843-3229
Mailing Address - Fax:608-843-3229
Practice Address - Street 1:348 E MAIN ST
Practice Address - Street 2:THERAPY WITHOUT WALLS
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-1940
Practice Address - Country:US
Practice Address - Phone:608-843-3229
Practice Address - Fax:608-843-3229
Is Sole Proprietor?:No
Enumeration Date:2013-09-08
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1733-132101YA0400X
WI1147-125101YP2500X
WI3192-1231041C0700X
WI331-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist