Individual
ROBERT L WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94 N ELM ST STE 205, WESTFIELD, MA 01085-1641
(413) 568-0850
(413) 562-1476
Mailing address
94 N ELM ST STE 205, WESTFIELD, MA 01085-1641
(413) 568-0850
(413) 562-1476
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3254
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0513954
—
MA
01
—
17783
HEALTH NEW ENGLAND
—
01
—
W03345
MEDICARE
MA
Enumeration date
01/10/2008
Last updated
01/10/2008
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