| Integrated Center For Child Development Community | |
|
109 Oak St Ste G10 Newton Upper Falls MA 02464-1492 | |
| (781) 619-1500 | |
| (781) 619-1509 |
| Full Name | Integrated Center For Child Development Community |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 109 Oak St Ste G10, Newton Upper Falls, Massachusetts |
| Authorized Official Name and Position | Kathy Fehily (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7816191516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Center For Child Development Community 340 Turnpike St Ste 1-3a Canton MA 02021-2700 Ph: (781) 619-1516 | Integrated Center For Child Development Community 109 Oak St Ste G10 Newton Upper Falls MA 02464-1492 Ph: (781) 619-1500 |
| NPI Number | 1396620266 |
|---|---|
| Provider Enumeration Date | 08/08/2025 |
| Last Update Date | 08/08/2025 |
| Certification Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396620266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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