Individual
DR. MELODY E MARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
1810 DOGWOOD DR, KOKOMO, IN 46902-5737
(765) 553-5691
(765) 553-5772
Mailing address
1810 DOGWOOD DR, KOKOMO, IN 46902-5737
(765) 553-5691
(765) 553-5772
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042895A
IN
103TC0700X
Clinical Psychologist
Primary
20042895A
IN
103TC1900X
Counseling Psychologist
20042895A
IN
103TH0100X
Health Service Psychologist
20042895A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000992378
ANTHEM BC/BS
IN
05
—
100124250
—
IN
01
—
350868083
TRICARE
IN
01
—
537605
VALUE OPTIONS
IN
01
—
567370
VALUE OPTIONS
IN
01
—
7687958
AETNA
IN
Enumeration date
09/27/2006
Last updated
09/11/2023
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