Doctor Name: | ROBELYN MARLOW |
NPI Number: | 1073922274 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 83984 |
Business Practice Address: | 11271 State Route 762 Orient, OH - 431469005 |
Business Phone Number: | 6148772441 |
Business Fax Number: | |
Mailing Address: | 9748 Madison Rd Ne, WASHINGTON COURT HOUSE |
State: | OH |
Postal Code: | 431609303 |
Phone Number: | 6148772441 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2014 |
NPI Last Update Date: | 08/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | 83984 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |