Raymond Joshua Wootton in Brookline - Clinical

Raymond Joshua Wootton - NPI 1114019064

Raymond Joshua Wootton is a Clinical in Brookline, Massachusetts. Raymond Joshua Wootton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Raymond Joshua Wootton is 1114019064. The last update date is 2014-01-28.

Raymond Joshua Wootton's current location address is 1 Brookline Pl Ste 105, Brookline, Massachusetts. You can contact this provider via phone number 6172788000 and fax number 6172788065. The mailing address for Raymond Joshua Wootton is 1 Brookline Pl Ste 105, Brookline, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond Joshua Wootton
Address 1 Brookline Pl Ste 105, Brookline, Massachusetts
Phone Number 6172788000
Fax Number 6172788065
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1114019064
Provider Enumeration Date 2006-09-29
Last Updated Date 2014-01-28

Provider Mailing Address Detail

Address 1 Brookline Pl Ste 105
City Brookline
State Massachusetts (MA)
Post Code 24457294
Phone Number 6172788000
Fax Number 6172788065

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 6223
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Raymond Joshua Wootton

What is the Raymond Joshua Wootton's 1114019064?

The Raymond Joshua Wootton's NPI (National Provider Identifier) Number is 1114019064. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Raymond Joshua Wootton is located?

The Raymond Joshua Wootton is situated at the following address: 1 Brookline Pl Ste 105, Brookline, MA, 24457294.

What is the Raymond Joshua Wootton's area of specialization and corresponding taxonomy classification?

The Raymond Joshua Wootton's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114019064 to Raymond Joshua Wootton?

The Centers for Medicare & Medicaid Services originally issued the 1114019064 to Raymond Joshua Wootton on 2006-09-29.

When was the information related to Raymond Joshua Wootton most recently updated or refreshed?

The details pertaining to the Raymond Joshua Wootton, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-01-28.

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