Organization
INTEGRATED CENTER FOR CHILD DEVELOPMENT COMMUNITY
Active
Other names
ICCD Community, ICCD Partners
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY FEHILY (DIRECTOR OF FINANCE)
(781) 619-1516
Entity
Organization
Contact information
Practice address
109 OAK ST STE G10, NEWTON UPPER FALLS, MA 02464-1492
(781) 619-1500
(781) 619-1509
Mailing address
340 TURNPIKE ST STE 1-3A, CANTON, MA 02021-2700
(781) 619-1516
(781) 619-1509
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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