Individual
MS. KATHLEEN SALAT WIGDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Contact information
Practice address
10 LANGLEY RD, NEWTON, MA 02459-1972
(800) 510-0020
Mailing address
171 DORSET RD, WABAN, MA 02468-1452
(617) 332-2268
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN97819
MA
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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