Doctor Name: | DR. MARYCLAIRE ANN GERETY |
NPI Number: | 1164643243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D. |
License Number: | 3177 |
Business Practice Address: | 607 Main St. Norwell, MA - 02061 |
Business Phone Number: | 7816591429 |
Business Fax Number: | |
Mailing Address: | 607 Main St., NORWELL |
State: | MA |
Postal Code: | 02061 |
Phone Number: | 7816591429 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 3177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |