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Individual

DR. DANIEL OWEN WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
125 MAIN RD, WESTHAMPTON, MA 01027-9680
(413) 262-1303
Mailing address
125 MAIN RD, WESTHAMPTON, MA 01027-9680
(413) 262-1303

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
048.0072594
VT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/25/2011
Last updated
10/31/2014
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