Provider Demographics
NPI:1962716696
Name:JAMES R. MARCHEL PHD
Entity type:Organization
Organization Name:JAMES R. MARCHEL PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-274-3990
Mailing Address - Street 1:5674 HIGHLAND PARK CT
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1200
Mailing Address - Country:US
Mailing Address - Phone:801-274-3990
Mailing Address - Fax:
Practice Address - Street 1:5674 HIGHLAND PARK CT
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84121-1200
Practice Address - Country:US
Practice Address - Phone:801-274-3990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2714922501261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health