Provider Demographics
NPI:1265810626
Name:MANN, MARSHA (THERAPIST)
Entity type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:
Last Name:MANN
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 PINEY FOREST RD
Mailing Address - Street 2:SUITE108
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-2867
Mailing Address - Country:US
Mailing Address - Phone:434-791-2767
Mailing Address - Fax:434-791-4944
Practice Address - Street 1:625 PINEY FOREST RD
Practice Address - Street 2:SUITE108
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-2867
Practice Address - Country:US
Practice Address - Phone:434-791-2767
Practice Address - Fax:434-791-4944
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist