Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN MARCELLO GENTRY, PSYD
Active Sole ProprietorDR. JOHN MARCELLO GENTRY, PSYD is a Child, Clinical Psychologist healthcare provider located in SOUTHAMPTON, Pennsylvania. NPI 1811939663 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · SOUTHAMPTON, PA
Registration Details
- NPI Number
- 1811939663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (20.215936311337 yrs)
- Last Updated
- Jun 19, 2014
- License
-
PS004299L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
928 JAYMOR RDSUITE B-150SOUTHAMPTON, PA, 189663826Browse PA providers · Browse ZIP 18966
- Phone
- 2159478654
- Fax
- 2159387607
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.