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Individual

DR. MARC LOUIS COPERSINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
115 MILL ST, MAIL STOP #103, BELMONT, MA 02478-1064
(617) 855-2853
Mailing address
31 SYCAMORE DR, WESTWOOD, MA 02090-3228
(781) 762-7850

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
016314
NY
103TC0700X
Clinical Psychologist
04030
MD
103TC0700X
Clinical Psychologist
Primary
8977
MA
103TC0700X
Clinical Psychologist
PS01066
RI

Other

Enumeration date
07/17/2008
Last updated
01/06/2015
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