Provider Demographics
NPI:1184059438
Name:DITULLIO, MARILYN (LMHC)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:DITULLIO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:
Other - Last Name:SUSSMANN DITULLIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 135
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-0135
Mailing Address - Country:US
Mailing Address - Phone:914-263-9933
Mailing Address - Fax:914-471-9081
Practice Address - Street 1:95 ROUTE 100
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-3319
Practice Address - Country:US
Practice Address - Phone:914-263-9933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health