| Doctor Name: | ELIZABETH MARNIX |
| NPI Number: | 1003231135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD, HSPP |
| License Number: | 20042743A |
| Business Practice Address: | 1441 E 84th Pl Merrillville, IN - 464106451 |
| Business Phone Number: | 2197369115 |
| Business Fax Number: | 2197942010 |
| Mailing Address: | 8400 Louisiana St, MERRILLVILLE |
| State: | IN |
| Postal Code: | 464106385 |
| Phone Number: | 2197571928 |
| Fax Number: | 2197571950 |
| NPI Enumeration Date: | 02/26/2014 |
| NPI Last Update Date: | 02/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20042743A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |