Individual
KAILA WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
345 BOYLSTON ST STE 300, NEWTON, MA 02459-2863
(857) 246-9569
Mailing address
345 BOYLSTON ST STE 300, NEWTON, MA 02459-2863
(857) 246-9569
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
9584
MA
103TC0700X
Clinical Psychologist
Primary
9584
MA
103TC2200X
Clinical Child & Adolescent Psychologist
9584
MA
Other
Enumeration date
08/27/2008
Last updated
05/31/2015
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