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Contact Information

LISA K LARGO MARSH, PhD
8799 GULL ROAD
SUITE 1
RICHLAND, MI49083
 Phone: 269-629-2207
 Fax: 269-731-2324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA K LARGO MARSH · (Female)

NPI Number 1023003340
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/13/2005
Last updated 08/01/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301008181
  • MI Other 680C960810 BCBS OF MICHIGAN
  • MI Other 21170586108 BEECH STREET CORPORATION
  • MI Other 114812 VALUE OPTIONS
  • MI Other 1148122 VALUE OPTIONS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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