MEDICARE: MS. PRISCILLA VALERIE MAROTTA PH.D.

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
1	103TC0700X	Clinical Psychologist	3973	FL
2	103TB0200X	Cognitive & Behavioral Psychologist	PY3973	FL

General Provider Information

NPI Number	:	1861578940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PRISCILLA VALERIE MAROTTA PH.D.

Provider Business Mailing Address
First Line	:	9343 SW 60TH TERRACE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34476-4494
Country	:	US
Telephone Number	:	954-336-2965
Fax Number	:

Provider Business Practice Location Address
First Line	:	9343 SW 60TH TERRACE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34476-4494
Country	:	US
Telephone Number	:	954-336-2965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	01/20/2026

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