Individual
MARIELA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
110 CEDAR STREET, SUITE 10, WELLESLEY, MA 02481-5323
(617) 902-8393
Mailing address
110 CEDAR STREET, SUITE 10, WELLESLEY, MA 02481-5323
(617) 902-8393
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
7783
MA
103K00000X
Behavior Analyst
Primary
1123
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06397
BLUE CROSS PROVIDER #
MA
Enumeration date
01/09/2007
Last updated
04/25/2017
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