Individual
EMILY K WILNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1185
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY25397
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
9706
MA
Other
Enumeration date
09/06/2007
Last updated
08/26/2013
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