Individual
SARAH WEDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 ELM ST STE 201, SOMERVILLE, MA 02144-2950
(217) 820-1062
Mailing address
63 PARK AVE, WINTHROP, MA 02152-2559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11189
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/19/2014
Last updated
07/02/2024
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