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KATHERINE GAMBLE PSY.D

Clinical Neuropsychologist

Newton, Massachusetts

Provider NPI: 1972652204

Provider Information:
 KATHERINE  GAMBLE PSY.D
Gender: F
Not Sole Proprietor

Practice Location:
193 OAK ST SUITE 1 NEWTON, MA 02464 US
Tel: 617-641-0900  Fax: 617-641-0930

Business Mailing Address:
193 OAK ST SUITE 1 NEWTON, MA 02464 US
Tel: 617-641-0900  Fax: 617-641-0930

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA7942

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS PROVIDER NUMBEW06380MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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