Doctor Name: | DR. MARILYN SNOW |
NPI Number: | 1003917535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., LPC |
License Number: | 675 |
Business Practice Address: | 2653 W Oxford Loop Suite 104 Oxford, MS - 386555442 |
Business Phone Number: | 6622346848 |
Business Fax Number: | 6622349792 |
Mailing Address: | Po Box 1570, OXFORD |
State: | MS |
Postal Code: | 386551570 |
Phone Number: | 6622346848 |
Fax Number: | 6622349792 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |