DR. MAGALY VICTORIA MARRERO PH.D. NPI 1457359051

NPI Information

NPI: 1457359051
Provider Name: DR. MAGALY VICTORIA MARRERO, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
11124 WURZBACH RD
SUITE 204
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 698-9093
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DR. Magaly Victoria Marrero, PH.D. is a clinical psychologist in San Antonio, TX. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Magaly Victoria Marrero, PH.D. NPI is 1457359051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11124 WURZBACH RD
SUITE 204
SAN ANTONIO, TX
ZIP 78230-438
Phone: (210) 698-9093
Fax: (210) 699-4810

The enumeration date for this NPI number is 7/8/2005 and was last updated on 10/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	23562	TEXAS	No
2	103TA0700X	Psychologist	Adult Development & Aging	23562	TEXAS	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	23562	TEXAS	No
4	103TC1900X	Psychologist	Counseling	23562	TEXAS	No
5	103TF0000X	Psychologist	Family	23562	TEXAS	No
6	103TF0200X	Psychologist	Forensic	23562	TEXAS	No
7	103TH0100X	Psychologist	Health Service	23562	TEXAS	No
8	103TP2701X	Psychologist	Group Psychotherapy	23562	TEXAS	No
9	103TR0400X	Psychologist	Rehabilitation	23562	TEXAS	No
10	103TC0700X	Psychologist	Clinical	23562	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S10777	MEDICARE UPIN	TEXAS
2	00B05A	MEDICARE PIN	TEXAS
3	5884108	OTHER	TEXAS	AETNA
4	00B05A	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
5	039028802	MEDICAID	TEXAS
6	352765100	OTHER	TEXAS	DEPARTMENT OF LABOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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