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Contact Information

MAYA A MARZOUK, PHD
593 EDDY ST
PROVIDENCE, RI02903-4923
 Phone: 401-444-4471
 Fax: 401-444-7574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MAYA A MARZOUK · (Female)

NPI Number 1063167096
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/17/2022
Last updated 07/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • RI License # PS02271
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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