Individual
JOSHUA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 BEACON ST STE 300, BOSTON, MA 02215-3202
(617) 485-1002
Mailing address
33 BELMONT ST APT 1, SOMERVILLE, MA 02143-2561
(646) 573-4153
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11276
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/30/2015
Last updated
08/07/2020
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