Provider Demographics
NPI:1174611362
Name:DEUTSCH, MARJORIE B (PHD LPC LMFT)
Entity type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:B
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:PHD LPC LMFT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5691 COLUMBIA PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041
Mailing Address - Country:US
Mailing Address - Phone:703-998-5606
Mailing Address - Fax:703-998-5608
Practice Address - Street 1:5691 COLUMBIA PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041
Practice Address - Country:US
Practice Address - Phone:703-998-5606
Practice Address - Fax:703-998-5608
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701001168101YP2500X
VA0717000025106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
073567OtherTRICARE
097480OtherANTHEM BCBS
2122852OtherMAMSI
28110003OtherCARE FIRST
28110003OtherARLINGTON EAP PROVIDERS