Individual
ALICIA GAPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
2 S BRIDGE DR STE 1B, AGAWAM, MA 01001-2000
(603) 903-7311
Mailing address
74 PERKINS ST, SPRINGFIELD, MA 01118-2044
(603) 903-7311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP10000001
MA
103TS0200X
School Psychologist
439399
MA
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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