Provider Demographics
NPI:1427028141
Name:MARROW, DANIEL ISAAC JR (MS, LMFT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ISAAC
Last Name:MARROW
Suffix:JR
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 MUMMA RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WORMLEYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1145
Mailing Address - Country:US
Mailing Address - Phone:717-975-0100
Mailing Address - Fax:717-737-6549
Practice Address - Street 1:1017 MUMMA RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WORMLEYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17043-1145
Practice Address - Country:US
Practice Address - Phone:717-975-0100
Practice Address - Fax:717-737-6549
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000077106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist