MEDICARE: MS. MARLANA BARRASSO PHD

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	103TH0100X	Health Service Psychologist		MA
2	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1992046924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARLANA BARRASSO PHD

Provider Business Mailing Address
First Line	:	120 RICHARDSON RD
Second Line	:
City	:	NORTH CHELMSFORD
State	:	MA
Zip	:	01863-2300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	869 TURNPIKE ST
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6151
Country	:	US
Telephone Number	:	978-234-8911
Fax Number	:

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

Provider Enumeration Date	:	03/15/2013
Last Update Date	:	07/29/2025

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