Provider Demographics
NPI:1013072081
Name:NAGEL, MARNI CARMELA SWITKIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARNI
Middle Name:CARMELA SWITKIN
Last Name:NAGEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3835
Mailing Address - Country:US
Mailing Address - Phone:714-532-8481
Mailing Address - Fax:714-532-8756
Practice Address - Street 1:1201 W LA VETA AVE
Practice Address - Street 2:503
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4213
Practice Address - Country:US
Practice Address - Phone:714-532-8481
Practice Address - Fax:714-532-8756
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20264103TH0100X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service