Individual
DR. MASSI HUGH WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
301 ANDREWS AVE, BEHAVIORAL HEALTH, FORT RUCKER, AL 36362-5333
(334) 255-7028
(334) 255-7528
Mailing address
301 ANDREWS AVE, BEHAVIORAL HEALTH, FORT RUCKER, AL 36362
(334) 255-7028
(334) 255-7528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1280
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1280
ALABAMA ST. BOARD
AL
05
—
2210068
—
MT
Enumeration date
09/28/2006
Last updated
07/06/2012
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