Provider Demographics
NPI:1861059404
Name:MARSH CREATIVE ARTS THERAPY
Entity type:Organization
Organization Name:MARSH CREATIVE ARTS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-575-9512
Mailing Address - Street 1:23 BARNABAS RD # 66
Mailing Address - Street 2:
Mailing Address - City:HAWLEYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06440-1201
Mailing Address - Country:US
Mailing Address - Phone:347-871-5931
Mailing Address - Fax:
Practice Address - Street 1:6704 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7033
Practice Address - Country:US
Practice Address - Phone:347-871-5931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty