Individual
DR. MARCIA M PAVLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
711959
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21608111
BCBS OF IL
IL
01
—
OR185
EMPIRE BCBS
NY
Enumeration date
08/31/2006
Last updated
07/08/2007
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