Provider Demographics
NPI:1104938620
Name:MARSICK, EMILY M (CAGS LMHC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:M
Last Name:MARSICK
Suffix:
Gender:F
Credentials:CAGS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 LOWER RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749
Mailing Address - Country:US
Mailing Address - Phone:978-567-0949
Mailing Address - Fax:
Practice Address - Street 1:57 E MAIN ST
Practice Address - Street 2:STAFFIER ASSOCIATES
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581
Practice Address - Country:US
Practice Address - Phone:508-366-0406
Practice Address - Fax:508-336-6221
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC 5632103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM1162OtherBCBS
MA1898906Medicaid