Individual
DR. GAYLE JEANNETTE SECORD
Active
Individual
DR. GAYLE JEANNETTE SECORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4715 PR
MA
103TA0700X
Adult Development & Aging Psychologist
4715 PR
MA
103TB0200X
Cognitive & Behavioral Psychologist
4715 PR
MA
103TC0700X
Clinical Psychologist
Primary
4715 PR
MA
103TC2200X
Clinical Child & Adolescent Psychologist
4715 PR
MA
103TE1100X
Exercise & Sports Psychologist
4715 PR
MA
103TF0000X
Family Psychologist
4715 PR
MA
103TH0004X
Health Psychologist
4715 PR
MA
Other
Enumeration date
04/02/2007
Last updated
11/29/2012
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