Iccd Partners in Canton - Clinical Neuropsychologist
Iccd Partners - NPI 1003011388
Iccd Partners is a Clinical Neuropsychologist in Canton, Massachusetts. Iccd Partners practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Iccd Partners is 1003011388. The last update date is 2007-08-29.
Iccd Partners's current location address is 340 Turnpike St, Canton, Massachusetts. You can contact this provider via phone number 6176410900 and fax number 6176410930. The mailing address for Iccd Partners is 340 Turnpike St, Canton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Iccd Partners |
|---|---|
| Address | 340 Turnpike St, Canton, Massachusetts |
| Phone Number | 6176410900 |
| Fax Number | 6176410930 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO DIRECTO |
|---|---|
| Authorized Official Name | Moldover Joseph |
| Credentials | PSY.D |
| Telephone Number | 6176410900 |
NPI Number Detail
| NPI Number | 1003011388 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 340 Turnpike St |
|---|---|
| City | Canton |
| State | Massachusetts (MA) |
| Post Code | 20212700 |
| Phone Number | 6176410900 |
| Fax Number | 6176410930 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the unique identifier code issued to Iccd Partners by the Centers for Medicare & Medicaid Services?
The Iccd Partners has been assigned the NPI (National Provider Identifier) 1003011388. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Iccd Partners is physically located?
The Iccd Partners is situated at the following address: 340 Turnpike St, Canton, MA 20212700.
What is Iccd Partners's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Iccd Partners's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
On what date did the Iccd Partners receive its 1003011388 assignment from the Centers for Medicare & Medicaid Services?
The Iccd Partners was assigned its 1003011388 by the Centers for Medicare & Medicaid Services on 2007-06-18.
When was the information regarding Iccd Partners, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Iccd Partners, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-29.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY