Provider Demographics
NPI:1104001080
Name:MARCHMAN, HEATHER MICHELLE (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:MICHELLE
Last Name:MARCHMAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 FRONT STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3339
Mailing Address - Country:US
Mailing Address - Phone:925-407-7549
Mailing Address - Fax:
Practice Address - Street 1:171 FRONT STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3339
Practice Address - Country:US
Practice Address - Phone:925-407-7549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 28581106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist