| Integrated Center For Child Development | |
|
340 Turnpike St Suite 11a Canton MA 02021-2700 | |
| (617) 641-0900 | |
| (617) 641-0930 |
| Full Name | Integrated Center For Child Development |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 340 Turnpike St, Canton, Massachusetts |
| Authorized Official Name and Position | Joseph Moldover (CO DIRECTOR) |
| Authorized Official Contact | 6176410900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Center For Child Development 340 Turnpike St Suite 11a Canton MA 02021-2700 Ph: (617) 641-0900 | Integrated Center For Child Development 340 Turnpike St Suite 11a Canton MA 02021-2700 Ph: (617) 641-0900 |
| NPI Number | 1003011388 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003011388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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