Marcus Stuart Vandiviere ED.D.

NPI 1487772356 - Counselor - 101YP2500X

NPI Details
NPI 1487772356
Gender Male
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
436 HOSPITAL DR
WARRENTON VA, 20186-3026, US
Phone (540) 347-1596
Fax (540) 347-2936
Business Location
9832 COBBLESTONE DR
WARRENTON VA, 20186-8617, US
Phone (540) 347-2314
Fax (540) 347-2396
Toxanomy
Taxonomy Code 101YP2500X
License State Virginia
License Number 0701001404
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According to our database, Dr. Marcus Stuart Vandiviere ED.D. NPI is 1487772356, taxonomy code is 101YP2500X and license number is 0701001404, license state is located at Virginia. Marcus Stuart Vandiviere ED.D. physically located at 436 Hospital Dr, Warrenton VA, 20186-3026. NPI Number Marcus Stuart Vandiviere ED.D. has the Individual type.

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1487772356 NPI number is provided on an as is basis without warranty of any kind. 1487772356 is maintained by the National Plan & Provider Enumeration System. The contents of Marcus Stuart Vandiviere ED.D. are for informational purposes only.