Gentry, John Marcello

Gentry, John Marcello is an sole proprietor health care provider with primary practice located at 928 Jaymor Rd Suite B-150, Southampton PA 18966-3826. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Gentry, John Marcello can be contacted via phone (215) 947-8654.

Contact Information

Primary practice address
928 Jaymor Rd Suite B-150 Southampton PA 18966-3826
Phone: (215) 947-8654
Fax: (215) 938-7607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS004299L Pennsylvania

Profile Details

NPI number 1811939663
LBN Legal business name Gentry, John Marcello
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jun 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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