Organization
ICCD PARTNERS
Active
Other names
Integrated Center For Child Development
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MOLDOVER PSY.D (CO DIRECTOR)
(617) 641-0900
Entity
Organization
Contact information
Practice address
340 TURNPIKE ST, SUITE 11A, CANTON, MA 02021-2700
(617) 641-0900
(617) 641-0930
Mailing address
340 TURNPIKE ST, SUITE 11A, CANTON, MA 02021-2700
(617) 641-0900
(617) 641-0930
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
08/29/2007
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