Provider Demographics
NPI:1154390219
Name:MARSHAK, LAURA ELLEN (PHD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ELLEN
Last Name:MARSHAK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 BEECHWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2507
Mailing Address - Country:US
Mailing Address - Phone:412-367-1481
Mailing Address - Fax:412-422-1716
Practice Address - Street 1:5000 MCKNIGHT RD
Practice Address - Street 2:SUITE 207 NORTH HILLS PSYCHOLOGICAL S
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-367-1481
Practice Address - Fax:412-635-3012
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005840-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMA725172Medicare ID - Type Unspecified