Individual
DR. NEIL RYAN CASTRONOVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19 MARWOOD RD, WORCESTER, MA 01602-1716
(508) 754-0393
Mailing address
19 MARWOOD RD, WORCESTER, MA 01602-1716
(508) 754-0393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSYCHOLOGIST 3144
MA
103TC0700X
Clinical Psychologist
Primary
PSYCHOLOGIST 3144
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516023
—
MA
Enumeration date
08/30/2006
Last updated
12/20/2010
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