| Doctor Name: | DR. WILLIAM DOUGLAS GAMMON |
| NPI Number: | 1306892898 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 2402 |
| Business Practice Address: | 572 Boston Rd Suite 14 Billerica, MA - 018213776 |
| Business Phone Number: | 7816962070 |
| Business Fax Number: | 9782948977 |
| Mailing Address: | 572 Boston Rd, Suite 14 BILLERICA |
| State: | MA |
| Postal Code: | 01821 |
| Phone Number: | 7816962070 |
| Fax Number: | 9782948977 |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 03/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |