Individual
DR. JOHN MARCELLO GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
928 JAYMOR RD, SUITE B-150, SOUTHAMPTON, PA 18966-3826
(215) 947-8654
(215) 938-7607
Mailing address
928 JAYMOR RD, SUITE B-150, SOUTHAMPTON, PA 18966-3826
(215) 947-8654
(215) 938-7607
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS004299L
PA
Other
Enumeration date
06/12/2006
Last updated
06/19/2014
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