Maryellen Tetreault

NPI 1609410927 · on the registry since 2019

Practice

Address: 288 Lyman St
Westborough, MA 01581
Phone: (508) 475-2696
Organisation at this address: Commonwealth Of Massachusetts-Dmh
Commonwealth Of Massachusetts-Dmh
The Commonwealth Of Massachusetts
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts