Provider Demographics
NPI:1912580721
Name:CHOWDHURY, MARCIA (MSAC)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:MSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7012 N 56TH AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-2516
Mailing Address - Country:US
Mailing Address - Phone:602-877-3931
Mailing Address - Fax:
Practice Address - Street 1:7012 N 56TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-2516
Practice Address - Country:US
Practice Address - Phone:602-877-3931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)