Provider Demographics
NPI:1629185731
Name:TURCOTTE, MARILYN L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:L
Last Name:TURCOTTE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MONSIGNOR CROSBY AVE
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3517
Mailing Address - Country:US
Mailing Address - Phone:802-229-0203
Mailing Address - Fax:802-229-0011
Practice Address - Street 1:16 MONSIGNOR CROSBY AVE
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3517
Practice Address - Country:US
Practice Address - Phone:802-229-0203
Practice Address - Fax:802-229-0011
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048.0063811103TC0700X
WI3658-125101Y00000X
VT068-0000212101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1006720Medicaid