MEDICARE: DEZI A MARLOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	C.1100249-TRNE	OH

General Provider Information

NPI Number	:	1811285760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEZI A MARLOW

Provider Business Mailing Address
First Line	:	3867 MEDINA RD STE 213
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-4525
Country	:	US
Telephone Number	:	216-452-8808
Fax Number	:

Provider Business Practice Location Address
First Line	:	3867 MEDINA RD STE 213
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-4525
Country	:	US
Telephone Number	:	216-452-8808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2011
Last Update Date	:	01/19/2023

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Directions to “ DEZI A MARLOW ” Practice Location

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