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NPI Code Detail

MEDICARE: VANESSA MARCANO MS

MEDICARE:   VANESSA  MARCANO  MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TP2701XGroup Psychotherapy Psychologist
2103TR0400XRehabilitation Psychologist
3104100000XSocial Worker
4106S00000XBehavior Technician
52355S0801XSpeech-Language Assistant42451TX
6390200000XStudent in an Organized Health Care Education/Training ProgramRBT-16-18220FL

General Provider Information

NPI Number : 1528463312
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA MARCANO MS
Provider Business Mailing Address
First Line : 4006 SHADY PALMETTO DR
Second Line :
City : HOUSTON
State : TX
Zip : 77068-2242
Country : US
Telephone Number : 346-213-4861
Fax Number :
Provider Business Practice Location Address
First Line : 5933 LEE VISTA BLVD APT 108
Second Line :
City : ORLANDO
State : FL
Zip : 32822-1515
Country : US
Telephone Number : 407-879-7259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2014
Last Update Date : 10/27/2023

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Directions to “ VANESSA MARCANO MS” Practice Location

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