Individual
DR. MICHELE WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
59 MASSASOIT ST, NORTHAMPTON, MA 01060-2015
(413) 320-7414
Mailing address
59 MASSASOIT ST, NORTHAMPTON, MA 01060-2015
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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