Individual
DR. MARJORIE LYNN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., ED.S.
Contact information
Practice address
115 S LUDLOW ST, DAYTON, OH 45402-1812
(934) 542-3409
Mailing address
639 LINDEMANN DR, MASON, OH 45040-1532
(513) 262-2891
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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