| Doctor Name: | MARCY TALICEO |
| NPI Number: | 1114216223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC, LPC |
| License Number: | 8146 |
| Business Practice Address: | 139 Hazard Ave Suite 2-6 Enfield, CT - 060824585 |
| Business Phone Number: | 8606986077 |
| Business Fax Number: | 8606986631 |
| Mailing Address: | 139 Hazard Ave, Suite 2-6 ENFIELD |
| State: | CT |
| Postal Code: | 060826109 |
| Phone Number: | 8606986077 |
| Fax Number: | 8606986631 |
| NPI Enumeration Date: | 03/30/2011 |
| NPI Last Update Date: | 02/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8146 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |