Active NPIIndividual providerSole proprietor

Dr. Gayle J Secord, PHD

Psychologist, Clinical in Norwood, Massachusetts

NPI Number1356462113
Practice location
15 Cottage St, Norwood, MA 02062-2153
Fax
781-762-0739
Last updated
November 29, 2012

Gayle Jeannette Secord is a Psychologist, Clinical based in Norwood, MA. Gayle Jeannette Secord practices in Norwood, MA and has the professional credentials of PHD. The NPI Number for Gayle Jeannette Secord is 1356462113 and holds a License No. 4715 PR (MA). The current practice location address for Gayle Jeannette Secord is 15 Cottage St, Norwood, MA 02062-2153 and can be reached out via phone at 781-329-1891 and via fax at 781-762-0739.

Provider Profile Details

NPI Number
1356462113
Provider Name
Gayle Jeannette Secord
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
15 Cottage St, Norwood, MA 02062-2153
Phone Number
781-329-1891
Fax Number
781-762-0739
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2007
Last Update Date
November 29, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Cottage St
Norwood, MA 02062-2153
Zip
02062-2153
Phone Number
781-329-1891
Fax Number
781-762-0739
Norwood, MA 02062Get directions →

Provider Business Mailing Address Details

Address
Po Box 2522
Westwood, MA 02090-7522
City
Westwood
State
MA
Zip
02090-7522
Phone Number
781-329-1891
Fax Number
781-762-0739

License Information

License Number (1)
4715 PR
License State (1)
MA
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X
License Number (2)
4715 PR
License State (2)
MA
Taxonomy (2)
Psychologist, Adult Development & Aging · 103TA0700X
License Number (3)
4715 PR
License State (3)
MA
Taxonomy (3)
Psychologist, Cognitive & Behavioral · 103TB0200X
License Number (4)
4715 PR
License State (4)
MA
Taxonomy (4)
Psychologist, Clinical · 103TC0700X · Primary
License Number (5)
4715 PR
License State (5)
MA
License Number (6)
4715 PR
License State (6)
MA
Taxonomy (6)
Psychologist, Exercise & Sports · 103TE1100X
License Number (7)
4715 PR
License State (7)
MA
Taxonomy (7)
Psychologist, Family · 103TF0000X
License Number (8)
4715 PR
License State (8)
MA
Taxonomy (8)
Psychologist, Health · 103TH0004X

Legacy Identifiers

IdentifierTypeStateIssuer
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. Gayle J Secord, PHD?

The NPI number of Dr. Gayle J Secord, PHD is 1356462113. It was assigned on April 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Gayle J Secord, PHD?

Dr. Gayle J Secord, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 4715 PR.

Where does Dr. Gayle J Secord, PHD practice?

The practice location is 15 Cottage St, Norwood, MA 02062-2153. The office can be reached at 781-329-1891 (phone) or 781-762-0739 (fax).

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 1356462113 directly on the NPPES registry website.

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