| Doctor Name: | TANIA I MARRERO |
| NPI Number: | 1154668861 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 004740 |
| Business Practice Address: | 1046 Calle Egipto Plaza De Las Fuentes Toa Alta, PR - 009533804 |
| Business Phone Number: | 7876744864 |
| Business Fax Number: | |
| Mailing Address: | 1046 Calle Egipto, Plaza De Las Fuentes TOA ALTA |
| State: | PR |
| Postal Code: | 009533804 |
| Phone Number: | 7876744864 |
| Fax Number: | |
| NPI Enumeration Date: | 01/15/2013 |
| NPI Last Update Date: | 01/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 004740 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |