Provider Demographics
NPI:1255069522
Name:DROE, MARION
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:
Last Name:DROE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13-982 MALAMA ST
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-8342
Mailing Address - Country:US
Mailing Address - Phone:301-602-4595
Mailing Address - Fax:
Practice Address - Street 1:13-982 MALAMA ST
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-8342
Practice Address - Country:US
Practice Address - Phone:301-602-4595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician