| Melody E Marley, Llc | |
|
1810 Dogwood Dr Kokomo IN 46902-5737 | |
| (765) 553-5691 | |
| (765) 553-5772 |
| Full Name | Melody E Marley, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1810 Dogwood Dr, Kokomo, Indiana |
| Authorized Official Name and Position | Melody E Marley (OWNER) |
| Authorized Official Contact | 7655535691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melody E Marley, Llc 1810 Dogwood Dr Kokomo IN 46902-5737 Ph: (765) 553-5691 | Melody E Marley, Llc 1810 Dogwood Dr Kokomo IN 46902-5737 Ph: (765) 553-5691 |
| NPI Number | 1922478551 |
|---|---|
| Provider Enumeration Date | 09/24/2015 |
| Last Update Date | 09/09/2023 |
| Certification Date | 09/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922478551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20042895A (Indiana) | Primary |
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