Bacarella, Marilyn

Bacarella, Marilyn is an sole proprietor health care provider with primary practice located at 146 Montgomery Ave Suite 302, Bala Cynwyd PA 19004-2956. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bacarella, Marilyn can be contacted via phone (610) 667-6420.

Contact Information

Primary practice address
146 Montgomery Ave Suite 302 Bala Cynwyd PA 19004-2956
Phone: (610) 667-6420
Fax: (610) 667-6421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS005349L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS005349L Pennsylvania
Behavioral Health & Social Service Providers / School 103TS0200X PS005349L Pennsylvania

Profile Details

NPI number 1821150632
LBN Legal business name Bacarella, Marilyn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821150632 NPPES
Pennsylvania Other 161866 VALUE OPTIONS MHS#
Pennsylvania Other 322375 VALUE OPTIONS MHS#

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