Mazzola, Mary Pat

Mazzola, Mary Pat is an sole proprietor health care provider with primary practice located at 185 North St , Bennington VT 05201-1813. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Mazzola, Mary Pat can be contacted via phone (802) 688-6262.

Contact Information

Primary practice address
185 North St Bennington VT 05201-1813
Phone: (802) 688-6262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 047-0000645 Vermont
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 047-0000645 Vermont
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 047-0000645 Vermont
Behavioral Health & Social Service Providers / Counseling 103TC1900X 047-0000645 Vermont

Profile Details

NPI number 1457360877
LBN Legal business name Mazzola, Mary Pat
Credentials PSYCHOLOGIST-MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jun 13th, 2014 - about 10 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 1457360877 NPPES
Vermont Other 59034 BLUE CROSS
Vermont MEDICAID 1007784 BLUE CROSS
Vermont Other 2070654 BLUE CROSS
Vermont Other 360032 BLUE CROSS

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