Allan Wyatt is a Psychologist in Wayland, Massachusetts. Allan Wyatt practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Allan Wyatt is 1669595740. The last update date is 2007-07-08.
Allan Wyatt's current location address is 187 Concord Rd, Wayland, Massachusetts. You can contact this provider via phone number 5083583546 and fax number 5083582149. The mailing address for Allan Wyatt is 187 Concord Rd, Wayland, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allan Wyatt |
|---|---|
| Address | 187 Concord Rd, Wayland, Massachusetts |
| Phone Number | 5083583546 |
| Fax Number | 5083582149 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1669595740 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 187 Concord Rd |
|---|---|
| City | Wayland |
| State | Massachusetts (MA) |
| Post Code | 17781205 |
| Phone Number | 5083583546 |
| Fax Number | 5083582149 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 4515 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W04353 | MA | BLUE CRO |
Post Comment/ Review Below
What is the unique provider identifier assigned to Allan Wyatt?
The Allan Wyatt has been issued the NPI (National Provider Identifier) 1669595740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Allan Wyatt?
The Allan Wyatt is physically situated at 187 Concord Rd, in the city of Wayland, state of MA, with the postal code 17781205.
What is the Allan Wyatt's specialty and taxonomy code?
The Allan Wyatt's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669595740 to Allan Wyatt?
The Centers for Medicare & Medicaid Services originally issued the 1669595740 to Allan Wyatt on 2007-04-06.
When was the information pertaining to Allan Wyatt most recently updated or revised?
The details related to Allan Wyatt, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.