Fillmore, Marlyssa Rae

Fillmore, Marlyssa Rae is an individual health care provider with primary practice located at 4020 W Goeller Blvd , Columbus IN 47201-8273. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Fillmore, Marlyssa Rae can be contacted via phone (812) 408-8442.

Contact Information

Primary practice address
4020 W Goeller Blvd Columbus IN 47201-8273
Phone: (812) 408-8442
Fax: (317) 663-2524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 10228724 Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20043326A Indiana

Profile Details

NPI number 1831741461
LBN Legal business name Fillmore, Marlyssa Rae
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2019
Last updated Jul 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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