Individual
EVAN JOSHUA WALDHETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
77 MASSACHUSETTS AVE # E23-368, CAMBRIDGE, MA 02139-4307
(617) 784-6559
Mailing address
77 MASSACHUSETTS AVE # E23-368, CAMBRIDGE, MA 02139-4307
(617) 784-6559
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
09054
MA
Other
Enumeration date
06/13/2007
Last updated
05/11/2018
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