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NPI Code Detail

MEDICARE: OLIVIA MARIE DEMARIO

MEDICARE:   OLIVIA MARIE DEMARIO
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
1103T00000XPsychologist4108TN

General Provider Information

NPI Number : 1992346803
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA MARIE DEMARIO
Provider Business Mailing Address
First Line : 910 BLACKFORD ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-1405
Country : US
Telephone Number : 423-778-6011
Fax Number :
Provider Business Practice Location Address
First Line : 910 BLACKFORD ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-1405
Country : US
Telephone Number : 423-778-6011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2019
Last Update Date : 06/03/2026

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Directions to “ OLIVIA MARIE DEMARIO ” Practice Location

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