Provider Demographics
NPI:1326055419
Name:MARZELLI, CAMERON LUREE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:LUREE
Last Name:MARZELLI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PINE BLF
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-2120
Mailing Address - Country:US
Mailing Address - Phone:508-789-8198
Mailing Address - Fax:
Practice Address - Street 1:104 CHARLES ELDREDGE DRIVE
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347
Practice Address - Country:US
Practice Address - Phone:508-947-1683
Practice Address - Fax:508-947-1684
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist