NPI 1003011388

Iccd Partners

Organisation Clinical Neuropsychologist Canton, MA

Practice location

Address: 340 Turnpike St Suite 11a, Canton, MA 02021-2700
Phone: (617) 641-0900
Fax: (617) 641-0930

Authorised official

Name: Joseph Moldover
Title: Co Director
Phone: (617) 641-0900

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X

Other Clinical Neuropsychologist providers in Massachusetts →

Registry record

NPI: 1003011388
Entity type: Organization
NPI issued: 18 Jun 2007
Record last updated: 29 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.