Marley, Melody E
Marley, Melody E is an sole proprietor health care provider with primary practice located at 1810 Dogwood Dr , Kokomo IN 46902-5737. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Marley, Melody E can be contacted via phone (765) 553-5691.Contact Information
Primary practice address
1810 Dogwood Dr
Kokomo IN 46902-5737
Phone: (765) 553-5691
Fax: (765) 553-5772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20042895A | Indiana |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 20042895A | Indiana |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 20042895A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042895A | Indiana |
Profile Details
| NPI number | 1710078555 |
|---|---|
| LBN Legal business name | Marley, Melody E |
| Credentials | PHD, HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 11th, 2023 - about last year |
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 | 1710078555 | NPPES |
| Indiana | Other | 000000992378 | ANTHEM BC/BS |
| Indiana | Other | 7687958 | ANTHEM BC/BS |
| Indiana | Other | 537605 | ANTHEM BC/BS |
| Indiana | Other | 567370 | ANTHEM BC/BS |
| Indiana | MEDICAID | 100124250 | ANTHEM BC/BS |
| Indiana | Other | 350868083 | ANTHEM BC/BS |
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