Marshall, Penelope

Marshall, Penelope is an individual health care provider with primary practice located at 9220 Bonita Beach Rd Ste 227, Bonita Springs FL 34135-4236. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Marshall, Penelope can be contacted via phone (239) 293-0122.

Contact Information

Primary practice address
9220 Bonita Beach Rd Ste 227 Bonita Springs FL 34135-4236
Phone: (239) 293-0122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X PSW 632 Florida

Profile Details

NPI number 1003811878
LBN Legal business name Marshall, Penelope
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003811878 NPPES
Florida Other PSW632 STATE LICENSE

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