Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 83984 | OH |
Y | 103TF0200X | Forensic Psychologist | 4097 | OH |
NPI | 1073922274 |
---|---|
Provider Name | Robelyn Marlow |
First Address | Washington Court House, OH 43160-9303 |
Second Address | Orient, OH 43146-9005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2014 |
Last Update Date | 13/08/2014 |