| Robert L Wing Psyd Pc | |
|
94 N Elm St Suite 205 Westfield MA 01085-1647 | |
| (413) 568-0850 | |
| (413) 562-1476 |
| Full Name | Robert L Wing Psyd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 94 N Elm St, Westfield, Massachusetts |
| Authorized Official Name and Position | Robert L Wing (OWNER PRESIDENT) |
| Authorized Official Contact | 4135680850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Wing Psyd Pc 94 N Elm St Suite 205 Westfield MA 01085-1647 Ph: (413) 568-0850 | Robert L Wing Psyd Pc 94 N Elm St Suite 205 Westfield MA 01085-1647 Ph: (413) 568-0850 |
| NPI Number | 1902891567 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902891567 | NPI | - | NPPES |
| 0513954 | Medicaid | MA | |
| 17783 | Other | HEALTH NEW ENGLAND | |
| W03345 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3254 (Massachusetts) | Primary |
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