MR. Mickey Marshall
NPI #1992913495 in Berkeley, California
Provider Information
- NPI Number
- 1992913495
- Entity Type
- Individual
- Name
- MR. Mickey Marshall
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Enumeration Date
- May 18, 2007
- Last Updated
- Jan 3, 2022
Practice Location
- Address
- 3200 ADELINE ST
- City
- Berkeley
- State
- California
- ZIP Code
- 94703-2407
- Phone
- (510) 601-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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