Kelly R Wilson PH.D.

NPI 1740596279 - Psychologist - 103TC0700X

NPI Details
NPI 1740596279
Gender Female
Enumeration Date 08/21/2010
Last Updated 01/15/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
875 MASSACHUSETTS AVE
SUITE 71
CAMBRIDGE MA, 02139-3067, US
Phone (857) 600-0875
Fax
Business Location
60 HIGHLAND AVE
APARTMENT 1
CAMBRIDGE MA, 02139-1040, US
Phone (650) 906-6177
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Massachusetts
License Number 9580
Remove 1740596279 NPI Number
 

According to our database, Kelly R Wilson PH.D. NPI is 1740596279, taxonomy code is 103TC0700X and license number is 9580, license state is located at Massachusetts. Kelly R Wilson PH.D. physically located at 875 Massachusetts Ave, Cambridge MA, 02139-3067. NPI Number Kelly R Wilson PH.D. has the Individual type.

Sponsored links

1740596279 NPI number is provided on an as is basis without warranty of any kind. 1740596279 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly R Wilson PH.D. are for informational purposes only.