Provider Demographics
NPI:1225133747
Name:TURNER, CASTELLANO BLANCHET (PHD)
Entity Type:Individual
Prefix:
First Name:CASTELLANO
Middle Name:BLANCHET
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 WOOD END RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON HIGHLANDS
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1402
Mailing Address - Country:US
Mailing Address - Phone:617-965-6636
Mailing Address - Fax:617-965-3124
Practice Address - Street 1:95 WOOD END RD
Practice Address - Street 2:
Practice Address - City:NEWTON HIGHLANDS
Practice Address - State:MA
Practice Address - Zip Code:02461-1402
Practice Address - Country:US
Practice Address - Phone:617-965-6636
Practice Address - Fax:617-965-3124
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3499103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist