Most Relevant Information
Provider Data
| NPI Number: | 1003006792 |
| Provider Name: | MARSHALL ANDREW GLENN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 347 |
Most Important Dates
| Enumeration Date: | 07/28/2007 |
| Last Updated: | 07/28/2007 |
Provider Practice Location
3613 GULLANE DR
NORMAN
OK
730721961
Practice Location Phone/Fax
| Phone: | 4052494130 |
| Fax: |
Provider Mailing Location
3613 GULLANE DR
NORMAN
OK
730721961
Provider Mailing Phone/Fax
| Phone: | 4052494130 |
| Fax: |