Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER C ENTWISTLE, PH.D.
Active Sole ProprietorDR. PETER C ENTWISTLE, PH.D. is a Clinical Neuropsychologist healthcare provider located in PEMBROKE, Massachusetts. NPI 1477743854 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · PEMBROKE, MA
Registration Details
- NPI Number
- 1477743854
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2007 (19.072325033546 yrs)
- Last Updated
- Jul 31, 2007
- Licenses
-
4237 (MA)4237 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
54 PUDDING BROOK DRPEMBROKE, MA, 023592008Browse MA providers · Browse ZIP 02359
- Phone
- 7818267197
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.