Wildes, Nic

Wildes, Nic is an sole proprietor health care provider with primary practice located at 12 Sewall Ave , Brookline MA 02446-5102. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wildes, Nic can be contacted via phone (617) 203-7082.

Contact Information

Primary practice address
12 Sewall Ave Brookline MA 02446-5102
Phone: (617) 203-7082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6217 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1881732618
LBN Legal business name Wildes, Nic
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Aug 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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