Individual
HENRY MARCUCELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
795 KINGSBURY BEACH ROAD, EASTHAM, MA 02642-0062
(617) 230-2309
Mailing address
PO BOX 62, EASTHAM, MA 02642-0062
(617) 230-2309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
559-PY-PR
FM
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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