| Doctor Name: | MARISSA LYNN BEDROSIAN |
| NPI Number: | 1083934640 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 67 Mechanic St Attleboro, MA - 027032036 |
| Business Phone Number: | 5082334691 |
| Business Fax Number: | |
| Mailing Address: | 27 N Howard Ave, NORTH PROVIDENCE |
| State: | RI |
| Postal Code: | 029111500 |
| Phone Number: | 4014338674 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2010 |
| NPI Last Update Date: | 06/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |