Individual
DR. RACHEL WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
180 MASSACHUSETTS AVE, SUITE 301, ARLINGTON, MA 02474-8448
(781) 643-3800
(781) 643-3803
Mailing address
180 MASSACHUSETTS AVE, SUITE 301, ARLINGTON, MA 02474-8448
(781) 643-3800
(781) 643-3803
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8045
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06379
BLUE CROSS PROVIDER NUMBE
MA
Enumeration date
01/09/2007
Last updated
07/08/2007
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