Individual
DR. EMILY MAZZULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480112979
VT
Other
Enumeration date
09/24/2015
Last updated
02/27/2017
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