Maron, Marlene Tamar

Maron, Marlene Tamar is an individual health care provider with primary practice located at 111 Colchester Ave Patrick 405, Burlington VT 05401-1473. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maron, Marlene Tamar can be contacted via phone (802) 847-4880.

Contact Information

Primary practice address
111 Colchester Ave Patrick 405 Burlington VT 05401-1473
Fax: (802) 847-8961
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048-0000536 Vermont

Profile Details

NPI number 1568491371
LBN Legal business name Maron, Marlene Tamar
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Oct 4th, 2013 - about 13 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 1568491371 NPPES
Vermont MEDICAID 1003673

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