Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 6333 | MA |
N | 103TC0700X | Clinical Psychologist | 6333 | MA |
N | 103TA0700X | Adult Development & Aging Psychologist | 6333 | MA |
N | 103G00000X | Clinical Psychologist | 6333 | MA |
N | 103TC0700X | Clinical Psychologist | 6333 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 6333 | MA |
NPI | 1508082280 |
---|---|
Provider Name | Gail S. Hochanadel |
First Address | Danvers, MA 01923-1133 |
Second Address | Danvers, MA 01923-1133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |