Individual
DR. CARLA J MAZZEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
52 S MANHEIM BLVD, NEW PALTZ, NY 12561-2406
(845) 255-2259
Mailing address
52 S MANHEIM BLVD, NEW PALTZ, NY 12561-2406
(845) 255-2259
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02393002
—
NY
01
—
1689704496
UBH
NY
01
—
696751
MVP INSURANCE
NY
01
—
P2819354
OXFORD INSURANCE
NY
Enumeration date
03/07/2007
Last updated
09/16/2009
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