Beach, Marlon
Beach, Marlon is an sole proprietor health care provider with primary practice located at 16160 Midway Rd Ste 218 , Addison TX 75001-4207. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Beach, Marlon can be contacted via phone (469) 680-3500.Contact Information
Primary practice address
16160 Midway Rd Ste 218
Addison TX 75001-4207
Phone: (469) 680-3500
Fax: (972) 426-8309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810007266 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 38811 | Texas |
Profile Details
| NPI number | 1134728421 |
|---|---|
| LBN Legal business name | Beach, Marlon |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2020 |
| Last updated | Jun 30th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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