Provider Demographics
NPI:1538375837
Name:BRAND, MARIANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:
Last Name:BRAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2183 BUCK MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:FREE UNION
Mailing Address - State:VA
Mailing Address - Zip Code:22940-2122
Mailing Address - Country:US
Mailing Address - Phone:434-960-4387
Mailing Address - Fax:
Practice Address - Street 1:2183 BUCK MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:FREE UNION
Practice Address - State:VA
Practice Address - Zip Code:22940-2122
Practice Address - Country:US
Practice Address - Phone:434-960-4387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717000530106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist