Wyatt, Allan

Wyatt, Allan is an sole proprietor health care provider with primary practice located at 586 Main St , Shrewsbury MA 01545-2920. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wyatt, Allan can be contacted via phone (508) 358-2144.

Contact Information

Primary practice address
586 Main St Shrewsbury MA 01545-2920
Fax: (508) 358-2149
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4515 Massachusetts

Profile Details

NPI number 1669595740
LBN Legal business name Wyatt, Allan
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1669595740 NPPES
Massachusetts Other W04353 BLUE CRO

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