Individual
DR. MAGALY VICTORIA MARRERO
Active
Individual
DR. MAGALY VICTORIA MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
23562
TX
103TA0700X
Adult Development & Aging Psychologist
23562
TX
103TB0200X
Cognitive & Behavioral Psychologist
23562
TX
103TC0700X
Clinical Psychologist
Primary
23562
TX
103TC1900X
Counseling Psychologist
23562
TX
103TF0000X
Family Psychologist
23562
TX
103TF0200X
Forensic Psychologist
23562
TX
103TH0100X
Health Service Psychologist
23562
TX
103TP2701X
Group Psychotherapy Psychologist
23562
TX
103TR0400X
Rehabilitation Psychologist
23562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B05A
BLUE CROSS BLUE SHIELD
TX
05
—
039028802
—
TX
01
—
352765100
DEPARTMENT OF LABOR
TX
01
—
5884108
AETNA
TX
Enumeration date
07/08/2005
Last updated
10/03/2008
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