Provider Demographics
NPI:1750006797
Name:BELLO, MARIEL SEANNE MERCADO (PHD)
Entity type:Individual
Prefix:DR
First Name:MARIEL
Middle Name:SEANNE MERCADO
Last Name:BELLO
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 1:327 LOCKWOOD ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-1357
Mailing Address - Country:US
Mailing Address - Phone:661-904-3621
Mailing Address - Fax:
Practice Address - Street 1:569 MAIN ST STE 224
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:RI
Practice Address - Zip Code:02885-4419
Practice Address - Country:US
Practice Address - Phone:401-237-0285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist