Individual
DR. MARA LADD VANDERZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1601 ARMORY DR, BUILDING C, UTICA, NY 13501-5405
(315) 797-6241
(315) 749-7054
Mailing address
6600 BUCKLAND DR, MARCY, NY 13403-2626
(315) 797-6241
(315) 749-7054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018838-1
NY
Other
Enumeration date
01/06/2011
Last updated
01/11/2012
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