Gwendolyn Coke Atwood, ED.D.
Individual provider Active NPI Psychologist · Concord, MA
NPI 1205322005 · NPPES record last updated Jul 3, 2018
Key facts
- NPI
- 1205322005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 7179 (MA)
- Practice address
- 117 Seymour St
Concord, MA 01742-5759 - Phone
- (978) 831-3288
- NPI assigned
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7179 | MA | Yes |
Addresses
Primary practice location
117 Seymour St
Concord, MA 01742-5759
Mailing address
117 Seymour St
Concord, MA 01742-5759
Phone (978) 831-3288
Other providers in Concord, MA
- Julie E Aresco
- Arete Psychology Consulting
- Atrius Health Inc. Dba Harvard Vanguard Medical Associates
- Atrius Health, Inc.
- Atrius Health, Inc.
- Stephanie Ault
- Sharon L Aumueller
- Laura Jane Austin
- Susan Avakian
- Brittany Noelle Bach
All providers in Concord, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.