Vivian A Marinelli in Glendale - Psychologist
Vivian A Marinelli - NPI 1639266927
Vivian A Marinelli is a Psychologist in Glendale, Wisconsin. Vivian A Marinelli practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Vivian A Marinelli is 1639266927. The last update date is 2007-07-08.
Vivian A Marinelli's current location address is 5225 N Ironwood Ln, Glendale, Wisconsin. You can contact this provider via phone number 4149629156 and fax number 4149624356. The mailing address for Vivian A Marinelli is 5225 N Ironwood Ln, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Vivian A Marinelli |
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Address | 5225 N Ironwood Ln, Glendale, Wisconsin |
Phone Number | 4149629156 |
Fax Number | 4149624356 |
Sole Proprietor | N |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1639266927 |
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Provider Enumeration Date | 2006-10-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5225 N Ironwood Ln |
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City | Glendale |
State | Wisconsin (WI) |
Post Code | 532174909 |
Phone Number | 4149629156 |
Fax Number | 4149624356 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 2026-057 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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39671200 | WI | -- |
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What is the unique identification code assigned to Vivian A Marinelli by the Centers for Medicare & Medicaid Services?
The Vivian A Marinelli has been issued the NPI (National Provider Identifier) 1639266927. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Vivian A Marinelli's facilities are geographically located?
The facilities of Vivian A Marinelli are physically situated at the following location: 5225 N Ironwood Ln, Glendale, WI, 532174909.
What is Vivian A Marinelli's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Vivian A Marinelli is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639266927 to Vivian A Marinelli?
The Centers for Medicare & Medicaid Services originally issued the 1639266927 to Vivian A Marinelli on 2006-10-06.
When was the information related to Vivian A Marinelli most recently updated or refreshed?
The details pertaining to the Vivian A Marinelli, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN