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Individual

MAYA A MARZOUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4471
(401) 444-7574
Mailing address
693 WATCH POINT DR, CINCINNATI, OH 45230-3765

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02271
RI
103TH0100X
Health Service Psychologist
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/17/2022
Last updated
07/29/2024
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