Organization
VILLAGE PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN WOLFMAN PHD (OWNER)
(617) 855-9204
Entity
Organization
Contact information
Practice address
9 CHANDLER ST, WATERTOWN, MA 02472-1008
(617) 855-9204
Mailing address
9 CHANDLER ST, WATERTOWN, MA 02472-1008
(617) 855-9204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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