Individual
DR. SHARON GORDETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1419 BEACON STREET, BROOKLINE, MA 02446
(617) 277-5584
(617) 277-5584
Mailing address
70 CYPRESS ST, BROOKLINE, MA 02445-6875
(617) 277-5584
(617) 277-5584
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1599
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1899392
—
MA
01
—
W01937
BCBS
MA
Enumeration date
01/30/2007
Last updated
07/08/2007
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