Iccd Partners
NPI #1003011388 in Canton, Massachusetts
Provider Information
- NPI Number
- 1003011388
- Entity Type
- Organization
- Organization Name
- Iccd Partners
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Jun 18, 2007
- Last Updated
- Aug 29, 2007
Practice Location
- Address
- 340 TURNPIKE ST
- Address 2
- SUITE 11A
- City
- Canton
- State
- Massachusetts
- ZIP Code
- 02021-2700
- Phone
- (617) 641-0900
Authorized Official
- Name
- JOSEPH MOLDOVER, PSY.D
- Title
- CO DIRECTOR
- Phone
- (617) 641-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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