Individual
DWAYNE D MARROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10450 BRIAN MOONEY AVE, EL PASO, TX 79935-2809
(915) 598-6616
(915) 598-6651
Mailing address
913 VIA CORTA CT, EL PASO, TX 79912-6643
(915) 833-2520
(915) 598-6651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034403801
—
TX
Enumeration date
08/31/2006
Last updated
05/26/2016
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