Provider Demographics
NPI:1982129789
Name:SCHICK, MARVIN DALE (LMFT)
Entity type:Individual
Prefix:MR
First Name:MARVIN
Middle Name:DALE
Last Name:SCHICK
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 TRAILWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7450
Mailing Address - Country:US
Mailing Address - Phone:214-549-3793
Mailing Address - Fax:
Practice Address - Street 1:2001 W PLANO PKWY STE 2300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8612
Practice Address - Country:US
Practice Address - Phone:972-422-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2017-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202220106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist