| Doctor Name: | MR. CHERYL ANN FALETRA-MOGAVERO |
| NPI Number: | 1013392984 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA TM, CAT |
| License Number: | S83999485 |
| Business Practice Address: | 340 Maple St Marlborough, MA - 017523200 |
| Business Phone Number: | 5088723333 |
| Business Fax Number: | |
| Mailing Address: | 222 Charnock Hill Rd, RUTLAND |
| State: | MA |
| Postal Code: | 015431110 |
| Phone Number: | 7742340588 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2015 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | S83999485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |