| Steve Marlow, Pc | |
|
3740 S 4th St Terre Haute IN 47802-5507 | |
| (812) 917-3011 | |
| (812) 238-3040 |
| Full Name | Steve Marlow, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3740 S 4th St, Terre Haute, Indiana |
| Authorized Official Name and Position | Steven L Marlow (OWNER) |
| Authorized Official Contact | 8129173011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steve Marlow, Pc 3740 S 4th St Terre Haute IN 47802-5507 Ph: (812) 917-3011 | Steve Marlow, Pc 3740 S 4th St Terre Haute IN 47802-5507 Ph: (812) 917-3011 |
| NPI Number | 1346503737 |
|---|---|
| Provider Enumeration Date | 06/20/2012 |
| Last Update Date | 06/20/2012 |
| Medicare PECOS PAC ID | 7810140050 |
|---|---|
| Medicare Enrollment ID | O20130121000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346503737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20040585 (Indiana) | Primary |
| Provider Name | Steven L Marlow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487632964 PECOS PAC ID: 3870686124 Enrollment ID: I20070904000118 |
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