Provider Demographics
NPI:1538415856
Name:MARSTON PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:MARSTON PSYCHOLOGICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-380-2695
Mailing Address - Street 1:222 SPARTAN DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1526
Mailing Address - Country:US
Mailing Address - Phone:412-380-2695
Mailing Address - Fax:412-380-0150
Practice Address - Street 1:12320 ROUTE 30 STE 2
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-2590
Practice Address - Country:US
Practice Address - Phone:412-380-2695
Practice Address - Fax:412-380-0150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty