Individual provider · Type 1 NPI

Kelly R. Wilson, PhD

Clinical Psychologist · Cambridge, MA

NPI number 1740596279 Active

Practice location

875 Massachusetts Ave, Suite 71
Cambridge, MA 02139-3067

Mailing address

60 Highland Ave, Apartment 1
Cambridge, MA 02139-1040

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X9580 (MA)

Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1740596279

Kelly R. Wilson, PhD's National Provider Identifier is 1740596279, issued on Aug 21, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Cambridge, MA. The record was last updated on Jan 15, 2013.