Provider Demographics
NPI:1275060097
Name:RIXEY, MARLYS (PSYD LCPC)
Entity Type:Individual
Prefix:DR
First Name:MARLYS
Middle Name:
Last Name:RIXEY
Suffix:
Gender:F
Credentials:PSYD LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 LITTLE LEIGH CT
Mailing Address - Street 2:
Mailing Address - City:CABIN JOHN
Mailing Address - State:MD
Mailing Address - Zip Code:20818-1625
Mailing Address - Country:US
Mailing Address - Phone:301-320-9333
Mailing Address - Fax:
Practice Address - Street 1:6318 DEMOCRACY BLVD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1664
Practice Address - Country:US
Practice Address - Phone:301-896-2196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCPC LC 0411174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist