Individual
DR. MARNIE SMITH DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
(334) 953-8607
Mailing address
4146 CARMICHAEL COURT, MONTGOMERY, AL 36106
(334) 409-0210
(334) 409-0250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
954
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051001486
BCBS-AL
AL
01
—
051510276
FED BCBS
—
05
—
05155825
—
AL
01
—
283901
MHN
—
01
—
344168000
MAGELLAN
—
01
—
493012
VALUE OPTIONS
—
01
—
620006996
RR MEDICARE
—
01
—
710954994
TRICARE
—
Enumeration date
04/18/2006
Last updated
03/12/2024
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