Provider Demographics
NPI:1659129963
Name:MARINELLI, CYNTHIA ESTREMERA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ESTREMERA
Last Name:MARINELLI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 PARIS ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-2749
Mailing Address - Country:US
Mailing Address - Phone:978-973-1748
Mailing Address - Fax:
Practice Address - Street 1:77 PARIS ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-2749
Practice Address - Country:US
Practice Address - Phone:978-973-1748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA468969103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool