Provider Demographics
NPI:1457746901
Name:VERMA, MARICIA
Entity type:Individual
Prefix:
First Name:MARICIA
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARICIA
Other - Middle Name:
Other - Last Name:TRAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 DAYTON ST
Mailing Address - Street 2:
Mailing Address - City:N CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1811
Mailing Address - Country:US
Mailing Address - Phone:781-864-8384
Mailing Address - Fax:
Practice Address - Street 1:2 DAYTON ST
Practice Address - Street 2:
Practice Address - City:N CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1811
Practice Address - Country:US
Practice Address - Phone:781-864-8384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor