Dillon, Marnie Smith
Dillon, Marnie Smith is an sole proprietor health care provider with primary practice located at 300 Twining St Bldg 760 , Maxwell Afb AL 36112-6027. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dillon, Marnie Smith can be contacted via phone (334) 953-5200.Contact Information
Primary practice address
300 Twining St Bldg 760
Maxwell Afb AL 36112-6027
Phone: (334) 953-5200
Fax: (334) 953-8607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 954 | Alabama |
Profile Details
| NPI number | 1801851464 |
|---|---|
| LBN Legal business name | Dillon, Marnie Smith |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 12th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801851464 | NPPES |
| Alabama | MEDICAID | 05155825 | |
| Alabama | Other | 710954994 | |
| Alabama | Other | 283901 | |
| Alabama | Other | 344168000 | |
| Alabama | Other | 620006996 | |
| Alabama | Other | 051510276 | |
| Alabama | Other | 051001486 | |
| Alabama | Other | 493012 |
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