Individual
CELESTE DERECHO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
(617) 282-7928
Mailing address
72 HARNESS LN, SUDBURY, MA 01776-1502
(978) 579-0013
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7879
MA
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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