Provider Demographics
NPI:1700160181
Name:HAY, MARISA B (BA MA)
Entity Type:Individual
Prefix:
First Name:MARISA
Middle Name:B
Last Name:HAY
Suffix:
Gender:F
Credentials:BA MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 HANOVER AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3507
Mailing Address - Country:US
Mailing Address - Phone:804-314-0870
Mailing Address - Fax:
Practice Address - Street 1:1803 HANOVER AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3507
Practice Address - Country:US
Practice Address - Phone:804-314-0870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter