| Doctor Name: | MR. RICHARD WOOLSTON |
| NPI Number: | 1154569325 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 1161 |
| Business Practice Address: | 651 Main St. Bolton, MA - 017401307 |
| Business Phone Number: | 9787792992 |
| Business Fax Number: | |
| Mailing Address: | 651 Main St., BOLTON |
| State: | MA |
| Postal Code: | 017401307 |
| Phone Number: | 9787792992 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2009 |
| NPI Last Update Date: | 01/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1161 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |