Jennifer Anne Gavin
Clinical Child & Adolescent Psychologist
26 Edgehill Rd
Brookline
, Massachusetts 02445-7722
Jennifer Anne Gavin
Clinical Child & Adolescent Psychologist
26 Edgehill Rd
Brookline
, Massachusetts 02445-7722
(617) 671-1222
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Jennifer Anne Gavin
- Po Box 302343 Pediatric Neurodevelopmental Services
- Jamaica Plain, MA
- Zip : 02130-0020
- Fax : (617) 671-1222
- Phone : (617) 671-1222
Second Address
- Jennifer Anne Gavin
- 26 Edgehill Rd
- Brookline, MA
- Zip : 02445-7722
- Fax : (617) 671-1222
- Phone : (617) 671-1222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 9154 | MA |
National Provider Identifier
| NPI | 1063610848 |
|---|---|
| Provider Name | Jennifer Anne Gavin |
| First Address | Jamaica Plain, MA 02130-0020 |
| Second Address | Brookline, MA 02445-7722 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2007 |
| Last Update Date | 09/01/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.