Doctor Name: | DR. GAIL M GRODZINSKY |
NPI Number: | 1396895769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 6366 |
Business Practice Address: | 76 Bedford St Suite 21 Lexington, MA - 024204646 |
Business Phone Number: | 7818607980 |
Business Fax Number: | |
Mailing Address: | 31 Tyler Rd, LEXINGTON |
State: | MA |
Postal Code: | 024202416 |
Phone Number: | 7818622927 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 6366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |