Individual
DR. DENNIS ANDREW MARIKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
788 LEXINGTON AVE, MANSFIELD, OH 44907
(419) 756-2828
(417) 753-9913
Mailing address
102 E GAMBIER ST, MOUNT VERNON, OH 43050
(740) 392-5416
(740) 392-3742
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3253
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500916
—
OH
Enumeration date
10/23/2006
Last updated
07/03/2008
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