Individual
DR. EILEEN R WIZNITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5 WATSON RD, #101, BELMONT, MA 02478-3924
(339) 223-6002
Mailing address
38 WACHUSETT DR, LEXINGTON, MA 02421-6913
(339) 223-6002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4514
MA
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
4514
MA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0519979
—
MA
Enumeration date
12/02/2006
Last updated
05/31/2023
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