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Individual

DR. MARILYN BACARELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
146 MONTGOMERY AVE, SUITE 302, BALA CYNWYD, PA 19004-2956
(610) 667-6420
(610) 667-6421
Mailing address
146 MONTGOMERY AVE, SUITE 302, BALA CYNWYD, PA 19004-2956
(610) 667-6420
(610) 667-6421

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS005349L
PA
103TC0700X
Clinical Psychologist
PS005349L
PA
103TS0200X
School Psychologist
Primary
PS005349L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
161866
VALUE OPTIONS MHS#
PA
01
322375
MHN PRACTITIONER ID NUMBE
PA
Enumeration date
12/15/2006
Last updated
09/11/2025
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