Provider Demographics
NPI:1891533071
Name:NIRSCHEL, MARCIA LYNN (BS,MA,CERTIFICATE)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:LYNN
Last Name:NIRSCHEL
Suffix:
Gender:F
Credentials:BS,MA,CERTIFICATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 FISHING TRL
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-2420
Mailing Address - Country:US
Mailing Address - Phone:203-912-2069
Mailing Address - Fax:
Practice Address - Street 1:215 FISHING TRL
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-2420
Practice Address - Country:US
Practice Address - Phone:203-912-2069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty