| Jean Pao Wilson, Ph,d., Llc | |
|
247 Northampton St Ste 7 Easthampton MA 01027-1052 | |
| (413) 307-4777 | |
| Not Available |
| Full Name | Jean Pao Wilson, Ph,d., Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 247 Northampton St Ste 7, Easthampton, Massachusetts |
| Authorized Official Name and Position | Jean Yun Pao Wilson (OWNER) |
| Authorized Official Contact | 4133074777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Pao Wilson, Ph,d., Llc Po Box 1016 Easthampton MA 01027-5016 Ph: (413) 307-4777 | Jean Pao Wilson, Ph,d., Llc 247 Northampton St Ste 7 Easthampton MA 01027-1052 Ph: (413) 307-4777 |
| NPI Number | 1467097279 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 11/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467097279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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