Individual
DAYLI NATASHA MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10774 HICKORY RIDGE RD, COLUMBIA, MD 21044
(410) 992-7288
(410) 991-2880
Mailing address
10774 HICKORY RIDGE RD, COLUMBIA, MD 21044
(410) 992-7288
(410) 991-2880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04095
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122241
TRICARE USFHP EHP
—
01
—
251592
COMPSYCH
—
01
—
28670011
CAREFIRST BCBS DC
—
01
—
64610101
CAREFIRST BCBS MD
—
01
—
801549000
MAGELLAN
—
01
—
LW80
CAREFIRST BCBS MD
—
01
—
PK 100090789
APS
—
Enumeration date
06/18/2006
Last updated
05/16/2008
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