Provider Demographics
NPI:1023156528
Name:SCHECK, MARLENE J (MED)
Entity type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:J
Last Name:SCHECK
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9322B JOHNSON ROAD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-9028
Mailing Address - Country:US
Mailing Address - Phone:740-594-8296
Mailing Address - Fax:740-592-1810
Practice Address - Street 1:9322B JOHNSON ROAD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-9028
Practice Address - Country:US
Practice Address - Phone:740-594-8296
Practice Address - Fax:740-592-1810
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0001565101Y00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist