Individual
DR. AMANI WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
25 STANIFORD ST, LINDEMANN MENTAL HEALTH CENTER, BOSTON, MA 02114-2503
(617) 626-8500
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3301
MA
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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