Provider Demographics
NPI:1831212570
Name:LEMONS, MARLA N (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARLA
Middle Name:N
Last Name:LEMONS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59703-0513
Mailing Address - Country:US
Mailing Address - Phone:406-498-6929
Mailing Address - Fax:406-723-5406
Practice Address - Street 1:125 W GRANITE ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-9215
Practice Address - Country:US
Practice Address - Phone:406-498-6929
Practice Address - Fax:406-723-5406
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT364103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical