Provider Demographics
NPI:1831763168
Name:DR. DUSTIN MARSH, PSY.D., PLLC
Entity type:Organization
Organization Name:DR. DUSTIN MARSH, PSY.D., PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:775-336-7099
Mailing Address - Street 1:313 FLINT ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2005
Mailing Address - Country:US
Mailing Address - Phone:775-336-7099
Mailing Address - Fax:571-622-3568
Practice Address - Street 1:313 FLINT ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2005
Practice Address - Country:US
Practice Address - Phone:775-336-7099
Practice Address - Fax:571-622-3568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1407150295Medicaid
MI6301018274OtherLICENSED PSYCHOLOGIST
NVPY0952OtherLICENSED PSYCHOLOGIST