Provider Demographics
NPI:1124538970
Name:MICHAEL C MARCH PHD PLLC
Entity type:Organization
Organization Name:MICHAEL C MARCH PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:319-270-0736
Mailing Address - Street 1:2910 COVEY RUN CT
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-9570
Mailing Address - Country:US
Mailing Address - Phone:319-270-0736
Mailing Address - Fax:
Practice Address - Street 1:700 16TH ST NE STE 201
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-4665
Practice Address - Country:US
Practice Address - Phone:319-364-0170
Practice Address - Fax:319-363-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00858103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty