Whalio Doctors

NPI 1154083335

Charles Edward Gaudet, PHD

Practitioner Clinical Neuropsychologist Cambridge, MA

Practice location

Address
1575 Cambridge St, Cambridge, MA 02138-4308
Phone
(617) 876-4344
Mailing address
55 Fruit St, Boston, MA 02114-2696

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY5000323 (MA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1154083335
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Oct 2021
Record last updated
27 Apr 2023

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.