JEFFREY MARSHALL (NPI# 1306479910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306479910 |
| Entity Type | Individual |
| Full Name | JEFFREY MARSHALL |
| Practice Address |
630 Churchmans Rd Newark DE 19702-1900 |
| Mailing Address |
224 Balligomingo Rd Conshohocken PA 19428-2606 |
| Practice Telephone | 3024689374 |
| Mailing Telephone | 7172038099 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
PC-0000979 | DE | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC010138 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Henry Ave, Philadelphia, PA 191291141 | 2158646666 | |
| 452 S Roberts Rd, Bryn Mawr, PA 190101136 | 6105255400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346373750 | Jeffrey Tonkins Marshall | Psychologist | 5749 Ruth Dr, Charlotte, NC 28215-2231 | 2007-03-14 |
| 1649328527 | Jeffrey L Marshall | Dentist | 12308 E Broadway Ave, Spokane Valley, WA 99216 | 2007-01-08 |
| 1194720607 | Jeffrey C Marshall | Optometrist | 5606 E Washington St, Indianapolis, IN 46219-6428 | 2005-06-21 |
| 1780195792 | Jeffrey Lind Marshall | Pharmacist | 580 Forest Shade Rd, Suite 7, Crestline, CA 92325 | 2017-10-17 |
| 1942740329 | Jeffrey T. Marshall | Family Medicine | 444 N Cleveland Ave Ste 200, Westerville, OH 43082-8389 | 2017-03-03 |
| 1780978114 | Jeffrey D Marshall | Internal Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2011-06-02 |
| 1083676100 | Jeffrey Scott Marshall | Anesthesiology | 6th Avenue & Spruce Street, Reading Anesthesia Associates Ltd, Reading, PA 19611 | 2006-04-04 |
| Street Address |
630 CHURCHMANS RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568713832 | Pain Solution Centers of Delaware | Residential Treatment Facility, Physical Disabilities | 630 Churchmans Rd, Suite 109, Newark, DE 19702-1900 | 2012-09-27 |
| 1578011185 | Devereux Foundation | Clinic/Center | 630 Churchmans Rd, Newark, DE 19702-1900 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077899 | Ramiro Furtado Correia | Counselor | 482 Summer Ave Apt 403, Newark, NJ 07104-2934 | 2020-09-14 |
| 1588272561 | Leah Ann Pollock | Counselor | 5 Strauss Way, Newark, DE 19702-3014 | 2020-07-16 |
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1669013413 | Kimberly Fleischer | Counselor | 519 Post Oak Dr, Newark, TX 76071-3141 | 2019-10-03 |
| 1801441795 | Turning Corners-hand In Hand, LLC | Counselor | 256 Chapman Rd Ste 105-6, Newark, DE 19702-5499 | 2019-08-07 |
| 1285289223 | Jessica Dawn Seidel | Counselor | 106 Watering Hole, Newark, TX 76071-4333 | 2019-08-06 |
| 1235640673 | First State Behavioral Health Center | Counselor | 260 Chapman Rd Ste 200-1, Newark, DE 19702-5490 | 2017-10-12 |
| 1124555305 | Ronald Tello-marzol | Counselor | 2 Rolling Dr, Newark, DE 19713-2020 | 2017-05-18 |
| 1619320462 | Stella Diai | Counselor | 72 Holland St, Newark, NJ 07103-2029 | 2016-07-18 |
| 1215318415 | Chantel Bratcher | Counselor | 31 Phoenix Ave, Newark, DE 19702-2406 | 2015-06-12 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.