Organization
M. GORMAN PSYCHOLOGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY CASEY PHD (EXECUTIVE DIRECTOR, BRENNER ASSESSM)
(617) 327-6777
Entity
Organization
Contact information
Practice address
ONE WELLS AVE, FOURTH FLOOR, NEWTON, MA 02459
(617) 327-6777
(617) 323-6969
Mailing address
ONE WELLS AVE, FOURTH FLOOR, NEWTON, MA 02459
(617) 327-6777
(617) 323-6969
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9762761
—
MA
Enumeration date
11/07/2006
Last updated
09/26/2023
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