Provider Demographics
NPI:1417007816
Name:CABAY, MARILYN S (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:S
Last Name:CABAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5935 E CAMBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-1019
Mailing Address - Country:US
Mailing Address - Phone:602-717-2589
Mailing Address - Fax:480-675-0242
Practice Address - Street 1:4300 N MILLER RD
Practice Address - Street 2:SUITE 110-5
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3619
Practice Address - Country:US
Practice Address - Phone:602-717-2589
Practice Address - Fax:480-675-0242
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3903103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ832370OtherAHCCS PROVIDER NUMBER