Dr. Charles E Gaudet III, PHD
Clinical Neuropsychologist in Cambridge, Massachusetts
1154083335- Practice location
- 1575 Cambridge St, Cambridge, MA 02138-4308
- Phone
- 617-876-4344
- Fax
- —
- Last updated
- April 27, 2023
Charles Edward Gaudet is a Clinical Neuropsychologist based in Cambridge, MA. Charles Edward Gaudet practices in Cambridge, MA and has the professional credentials of PHD. The NPI Number for Charles Edward Gaudet is 1154083335 and holds a License No. PSY5000323 (MA). The current practice location address for Charles Edward Gaudet is 1575 Cambridge St, Cambridge, MA 02138-4308 and can be reached out via phone at 617-876-4344.
Provider Profile Details
- NPI Number
- 1154083335
- Provider Name
- Charles Edward Gaudet
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1575 Cambridge St, Cambridge, MA 02138-4308
- Phone Number
- 617-876-4344
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 6, 2021
- Last Update Date
- April 27, 2023
- Certification Date
- April 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1575 Cambridge St
Cambridge, MA 02138-4308 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02138-4308
- Phone Number
- 617-876-4344
Provider Business Mailing Address Details
- Address
- 55 Fruit St
Boston, MA 02114-2696 - City
- Boston
- State
- MA
- Zip
- 02114-2696
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- PSY5000323
- License State (2)
- MA
- Taxonomy (2)
- Clinical Neuropsychologist · 103G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Charles E Gaudet III, PHD?
The NPI number of Dr. Charles E Gaudet III, PHD is 1154083335. It was assigned on October 6, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Charles E Gaudet III, PHD?
Dr. Charles E Gaudet III, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in MA under license number PSY5000323.
Where does Dr. Charles E Gaudet III, PHD practice?
The practice location is 1575 Cambridge St, Cambridge, MA 02138-4308. The office can be reached at 617-876-4344 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154083335 directly on the NPPES registry website.