Individual
HENRY GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
100 LEDGEWOOD PL, SUITE 202, ROCKLAND, MA 02370-1075
(781) 871-6550
(781) 871-5973
Mailing address
109 RIVER ST, APT. 1B, CAMBRIDGE, MA 02139-3817
(617) 354-4422
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4356
MA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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