Organization
NORTH SHORE ASSESSMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY KENT WILSON PH.D. (PRESIDENT)
(978) 233-1322
Entity
Organization
Contact information
Practice address
152 REAR MAIN STREET, WENHAM, MA 01944
(978) 233-1322
(978) 560-1234
Mailing address
152 REAR MAIN STREET, WENHAM, MA 01944
(978) 233-1322
(978) 560-1234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336398619
NPI
MA
Enumeration date
03/22/2021
Last updated
03/22/2021
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