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NPI Code Detail

MEDICARE: NANCY L GAULIN PSY.D.

MEDICARE: NANCY L GAULIN PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2103TC0700XClinical Psychologist9217MA

General Provider Information

NPI Number : 1255391041
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY L GAULIN PSY.D.
Provider Business Mailing Address
First Line : 38 OTIS ST
Second Line :
City : NEWTONVILLE
State : MA
Zip : 02460
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 115 MILL ST
Second Line :
City : BELMONT
State : MA
Zip : 02478-1064
Country : US
Telephone Number : 617-855-3541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 11/30/2010

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