Individual
WILLIAM H COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
14 CRYSTAL STREET, WAKEFIELD, MA 01880
(781) 224-3374
Mailing address
14 CRYSTAL STREET, WAKEFIELD, MA 01880
(781) 224-3374
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1778
MA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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