Organization
NEURODEVELOPMENTAL EDUCATIONAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GAMBLE PSY.D (PARTNER)
(617) 777-1270
Entity
Organization
Contact information
Practice address
26 EDGEHILL ROAD, BROOKLINE, MA 02445
(617) 777-1270
(617) 307-4052
Mailing address
26 EDGEHILL RD, BROOKLINE, MA 02445-7722
(617) 777-1270
(617) 307-4052
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7942
MA
1041C0700X
Clinical Social Worker
113492
MA
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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