Individual
BRAD SPICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
49B CARLETON ST, NEWTON, MA 02458-1604
(617) 207-4124
Mailing address
49B CARLETON ST, NEWTON, MA 02458-1604
(617) 207-4124
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1263
NH
103TC0700X
Clinical Psychologist
9891
MA
Other
Enumeration date
09/13/2012
Last updated
08/13/2014
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