Individual
DR. ELIZABETH HAYES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7 WHITCOMB RD, DEDHAM, MA 02026-4050
(508) 472-3116
Mailing address
7 WHITCOMB RD, DEDHAM, MA 02026-4050
(508) 472-3116
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8511
MA
103TC0700X
Clinical Psychologist
Primary
8511
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822716000
MAGELLAN PROVIDER NUMBER
MA
01
—
W06480
BCBS PROVIDER NUMBER
MA
Enumeration date
01/16/2007
Last updated
10/10/2023
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