Individual
BART R WENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
153 EAST ST, PETERSHAM, MA 01366-9741
(978) 724-0400
Mailing address
153 EAST ST, PETERSHAM, MA 01366-9741
(978) 724-0400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3025
MA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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