Professional Profiles

NPI #1235434804 in Cotuit, Massachusetts

Provider Information

NPI Number
1235434804
Entity Type
Organization
Organization Name
Professional Profiles
Primary Specialty
Clinical Neuropsychologist
Enumeration Date
Jan 12, 2011
Last Updated
Jan 12, 2011

Practice Location

Address
1860 SANTUIT NEWTOWN RD
City
Cotuit
ZIP Code
02635-2509
Phone
(508) 548-8989

Authorized Official

Name
GERALD P ELOVITZ, ED.D.
Title
GENERAL PARTNER
Phone
(508) 548-8989

Specialties & Taxonomy Codes

Specialty
Clinical Neuropsychologist

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