Individual
MARTHA B. VIGLIETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 E GENESEE ST, SUITE 208, SYRACUSE, NY 13202-3130
(315) 476-2675
(315) 476-2678
Mailing address
600 E GENESEE ST, SUITE 208, SYRACUSE, NY 13202-3130
(315) 476-2675
(315) 476-2678
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01159388
—
NY
Enumeration date
09/04/2006
Last updated
07/08/2007
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