Healthcare Provider Details

I. General information

NPI: 1649069535
Provider Name (Legal Business Name): NEXT STEP COUNSELING AND NEUROPSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CUMMINGS CTR STE 312J
BEVERLY MA
01915-6107
US

IV. Provider business mailing address

100 CUMMINGS CTR STE 312J
BEVERLY MA
01915-6107
US

V. Phone/Fax

Practice location:
  • Phone: 617-433-7020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: GWYNE W WHITE
Title or Position: OWNER
Credential: PH.D.
Phone: 617-433-7020