Gaudet, Charles Edward
Gaudet, Charles Edward is an individual health care provider with primary practice located at 1575 Cambridge St , Cambridge MA 02138-4308. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Gaudet, Charles Edward can be contacted via phone (617) 876-4344.Contact Information
Primary practice address
1575 Cambridge St
Cambridge MA 02138-4308
Phone: (617) 876-4344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY5000323 | Massachusetts |
Profile Details
| NPI number | 1154083335 |
|---|---|
| LBN Legal business name | Gaudet, Charles Edward |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2021 |
| Last updated | Apr 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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