Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 8613 | MA |
NPI | 1033265145 |
---|---|
Provider Name | David Gover |
First Address | Halifax, MA 02338-1102 |
Second Address | Norwood, MA 02062-3351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 08/07/2007 |