Individual
NEIL MARINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
217 MAXHAM MEADOW WAY, STE 1038, WOODSTOCK, VT 05091
(802) 457-4233
(802) 457-4261
Mailing address
217 MAXHAM MEADOW WAY, STE 1038, WOODSTOCK, VT 05091
(802) 457-4233
(802) 457-4261
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000014
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002855
—
VT
01
—
0622855
BCBS
—
01
—
60345
CIGNA
—
01
—
713823
MVP
—
Enumeration date
02/05/2007
Last updated
07/08/2007
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