| Marc A. Cecil, Ph.d., P.c. | |
|
65 N Main St Rutland VT 05701-3252 | |
| (802) 773-3616 | |
| Not Available |
| Full Name | Marc A. Cecil, Ph.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 65 N Main St, Rutland, Vermont |
| Authorized Official Name and Position | Marc A Cecil A Cecil (PRESIDENT AND OWNER) |
| Authorized Official Contact | 8027733616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc A. Cecil, Ph.d., P.c. 65 N Main St Rutland VT 05701-3252 Ph: (802) 773-3616 | Marc A. Cecil, Ph.d., P.c. 65 N Main St Rutland VT 05701-3252 Ph: (802) 773-3616 |
| NPI Number | 1962199638 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Medicare PECOS PAC ID | 1355709916 |
|---|---|
| Medicare Enrollment ID | O20230614002650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962199638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marc A Cecil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831151687 PECOS PAC ID: 5890703284 Enrollment ID: I20060327000522 |
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