Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Marvin William Futtersak, PHD

Individual provider Clinical Psychologist · NPI 1972680445

Dr. Marvin William Futtersak, PHD is a Clinical Psychologist in Waxhaw, North Carolina. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

104 Professional Park Dr Ste D
Waxhaw, NC 28173
Phone: (704) 589-1175
Fax: (704) 243-0098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 00107 (NY)

Record details

NPI number1972680445
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 14, 2024
Certification dateAugust 1, 2024

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