Netherland, Marcia J

Netherland, Marcia J is an individual health care provider with primary practice located at 14734 Amberjack Ter , Lakewood Ranch FL 34202-5800. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Netherland, Marcia J can be contacted via phone (717) 658-0581.

Contact Information

Primary practice address
14734 Amberjack Ter Lakewood Ranch FL 34202-5800
Phone: (717) 658-0581
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC006365 Pennsylvania
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 2019024180 Missouri

Profile Details

NPI number 1558680926
LBN Legal business name Netherland, Marcia J
Credentials MA, NCC, LPC, TF-CBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2010
Last updated Feb 16th, 2023 - about 3 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 1558680926 NPPES
Pennsylvania MEDICAID 102992907

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