Individual
MARK CENTRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-3674
(617) 855-3826
Mailing address
76 BAKER ST, BELMONT, MA 02478-4025
(617) 489-2794
(617) 855-3826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6129
MA
Other
Enumeration date
02/07/2006
Last updated
09/26/2011
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