Individual
DR. RAVI GATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
41 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 383-4025
Mailing address
197 PINE GROVE ST, NEEDHAM, MA 02494-1735
(617) 383-4025
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
9251
MA
103TC1900X
Counseling Psychologist
Primary
9251
MA
Other
Enumeration date
10/19/2006
Last updated
10/22/2011
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