Individual provider · Type 1 NPI

Peter D. Wisdom

Mental Health Counselor · Medford, MA

NPI number 1982544698 Active

Practice location

200 Boston Ave Ste 1925
Medford, MA 02155-4243

Mailing address

145 Pinckney St Apt 1B
Boston, MA 02114-3273

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982544698

Peter D. Wisdom's National Provider Identifier is 1982544698, issued on Mar 31, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, MA. The record was last updated on Mar 31, 2026.