| Doctor Name: | DR. ROBERT ALEXANDER MARZILLI |
| NPI Number: | 1114041076 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PS00233 |
| Business Practice Address: | 1524 Atwood Ave Ste. No. 433 Johnston, RI - 029193228 |
| Business Phone Number: | 4018612190 |
| Business Fax Number: | |
| Mailing Address: | 33 Sweet Hill Dr, JOHNSTON |
| State: | RI |
| Postal Code: | 029192231 |
| Phone Number: | 4012315717 |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS00233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |