Individual
GENNARINA DIANE SANTORELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
185 PILGRIM ROAD, DEACONESS 1, BOSTON, MA 02215
(617) 632-0908
(617) 754-8638
Mailing address
185 PILGRIM ROAD, DEACONESS 1, BOSTON, MA 02215
(718) 490-8133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11536
MA
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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