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Dr. Charles Edward Gaudet III, PHD
Clinical Neuropsychologist in Cambridge, Massachusetts
NPI 1154083335

Charles Edward Gaudet III is a Clinical Neuropsychologist based in Boston, MA. Charles Edward Gaudet III practices in Cambridge, MA and has the professional credentials of PHD. The NPI Number for Charles Edward Gaudet III is 1154083335 and holds a License No. (Massachusetts).

The current practice location address for Charles Edward Gaudet III is 1575 Cambridge St, Cambridge, MA and can be reached out via phone at 617-876-4344. You can also correspond with Charles Edward Gaudet III through the mailing address at 55 FRUIT ST, BOSTON, MA - 02114-2696 (mailing address contact number: ).

Location: 1575 Cambridge St, Cambridge, MA, 02114-2696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154083335
Provider Name
Charles Edward Gaudet III
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1575 Cambridge St, Cambridge, MA, 02114-2696
Phone Number
617-876-4344
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1575 Cambridge St
City
Cambridge
State
Massachusetts
Zip
02138-4308
Phone Number
617-876-4344
Fax Number
person
Provider Business Mailing Address Details
Address
1575 Cambridge St
City
Cambridge
State
Massachusetts
Zip
02138-4308
Phone Number
617-876-4344
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
PSY5000323 (Massachusetts)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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