DR. Mara Ladd Vanderzell, PH.D.

NPI #1215231121 in Utica, New York

Provider Information

NPI Number: 1215231121
Entity Type: Individual
Name: DR. Mara Ladd Vanderzell, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jan 6, 2011
Last Updated: Jan 11, 2012

Practice Location

Address: 1601 ARMORY DR
Address 2: BUILDING C
City: Utica
State: New York
ZIP Code: 13501-5405
Phone: (315) 797-6241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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