Provider Demographics
NPI:1649352808
Name:MARSH, DOROTHY F (LCMFT)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:F
Last Name:MARSH
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9700 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4563
Mailing Address - Country:US
Mailing Address - Phone:913-433-2061
Mailing Address - Fax:913-262-0818
Practice Address - Street 1:716 N 5TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-1404
Practice Address - Country:US
Practice Address - Phone:913-651-5261
Practice Address - Fax:913-651-9350
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS127106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist