Organization
HIGHLAND PSYCHOLOGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY R WILSON PH.D. (OWNER)
(857) 600-0875
Entity
Organization
Contact information
Practice address
875 MASSACHUSETTS AVE, SUITE 71, CAMBRIDGE, MA 02139-3067
(857) 600-0875
Mailing address
875 MASSACHUSETTS AVE, SUITE 71, CAMBRIDGE, MA 02139-3067
(857) 600-0875
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9580
MA
Other
Enumeration date
11/23/2012
Last updated
08/14/2015
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