Individual
DR. KIM MICHAEL WOYNOWSKIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 876-0643
Mailing address
115 MILL ST, BELMONT, MA 02478-1048
(617) 855-4523
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11241
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2017
Last updated
12/17/2021
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