Individual
DR. THOMAS WAHLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
77 VALLEY RD, SOUTHAMPTON, MA 01073-9532
(413) 341-0342
(866) 277-1901
Mailing address
77 VALLEY RD, SOUTHAMPTON, MA 01073-9532
(724) 840-1226
(866) 277-1901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10355
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300010
MBHP
MA
05
—
1300881
—
MA
Enumeration date
07/09/2009
Last updated
08/26/2021
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