Mary Pat Mazzola in Bennington - Adult Development & Aging
Mary Pat Mazzola - NPI 1457360877
Mary Pat Mazzola is a Adult Development & Aging in Bennington, Vermont. Mary Pat Mazzola practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Mary Pat Mazzola is 1457360877. The last update date is 2014-06-13.
Mary Pat Mazzola's current location address is 120 Monument Ave, Bennington, Vermont. You can contact this provider via phone number 8026886262. The mailing address for Mary Pat Mazzola is 120 Monument Ave, Bennington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Pat Mazzola |
|---|---|
| Address | 120 Monument Ave, Bennington, Vermont |
| Phone Number | 8026886262 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYCHOLOGI |
NPI Number Detail
| NPI Number | 1457360877 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2014-06-13 |
Provider Mailing Address Detail
| Address | 120 Monument Ave |
|---|---|
| City | Bennington |
| State | Vermont (VT) |
| Post Code | 52012133 |
| Phone Number | 8026886262 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | 047-0000645 |
|
Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59034 | VT | BLUE CROSS | |
| 1007784 | VT | -- | |
| 2070654 | VT | CIGNA | |
| 360032 | VT | MANAGED HEALTH NET |
Post Comment/ Review Below
What is the Mary Pat Mazzola's unique identification number?
The Mary Pat Mazzola has been assigned the NPI (National Provider Identifier) Number 1457360877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mary Pat Mazzola is physically located?
The Mary Pat Mazzola is situated at the following address: 120 Monument Ave, Bennington, VT 52012133.
What is Mary Pat Mazzola's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Pat Mazzola's specialized field of practice is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0700X.
When did Mary Pat Mazzola receive its 1457360877 assignment?
The Mary Pat Mazzola was assigned its 1457360877 on 2006-08-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mary Pat Mazzola most recently updated or revised?
The information pertaining to Mary Pat Mazzola, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-13.
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