Individual
DR. ELIZABETH MARNIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, HSPP
Contact information
Practice address
1500 W 38TH ST STE 32, AUSTIN, TX 78731-6318
(877) 750-3566
Mailing address
30 N MICHIGAN AVE STE 515, CHICAGO, IL 60602-3830
(312) 600-7674
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071008714
IL
103TC0700X
Clinical Psychologist
20042743A
IN
103TC0700X
Clinical Psychologist
Primary
38042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IN
Enumeration date
02/26/2014
Last updated
03/01/2023
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