Most Relevant Information
Provider Data
| NPI Number: | 1003243866 |
| Provider Name: | JOHN MATTHEW MARIANI PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 002569 |
Most Important Dates
| Enumeration Date: | 10/10/2013 |
| Last Updated: | 10/10/2013 |
Provider Practice Location
200 MAIN ST
MANCHESTER
CT
060423581
Practice Location Phone/Fax
| Phone: | 8606469660 |
| Fax: | 8606434704 |
Provider Mailing Location
200 MAIN ST
MANCHESTER
CT
060423581
Provider Mailing Phone/Fax
| Phone: | 8606469660 |
| Fax: | 8606434704 |