Individual
DR. ALLAN WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
586 MAIN ST, SHREWSBURY, MA 01545-2920
(508) 358-2144
(508) 358-2149
Mailing address
187 CONCORD RD, WAYLAND, MA 01778-1205
(508) 358-3546
(508) 358-2149
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4515
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04353
BLUE CRO
MA
Enumeration date
04/06/2007
Last updated
07/08/2007
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