Individual
DR. MIRIAM ROSE WALDHETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
18 GROVE ST STE 9, WELLESLEY, MA 02482-7705
(617) 819-4707
Mailing address
18 GROVE ST STE 9, WELLESLEY, MA 02482-7705
(617) 819-4707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9726
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2009
Last updated
02/29/2024
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