Individual provider · Type 1 NPI
Daniel Owen Wade, PSY.D.
Student in an Organized Health Care Education/Training Program · Westhampton, MA
NPI number
1679853428
Active
Practice location
125 Main Rd
Westhampton, MA 01027-9680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Psychologist | 103T00000X | 048.0072594 (VT) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1679853428
Daniel Owen Wade, PSY.D.'s National Provider Identifier is 1679853428, issued on Aug 25, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Westhampton, MA. The record was last updated on Oct 31, 2014.