Individual
PAUL L. MORTARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3190
(508) 460-3297
Mailing address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3190
(508) 460-3297
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6308
MA
Other
Enumeration date
07/19/2006
Last updated
01/31/2011
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