Doctor Name: | WENDY MCDONALD |
NPI Number: | 1255401188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | |
Business Practice Address: | 100 Linden St Holliston, MA - 017461803 |
Business Phone Number: | 5084290620 |
Business Fax Number: | |
Mailing Address: | 1 Aberdeen Way #224, CAMBRIDGE |
State: | MA |
Postal Code: | 02138 |
Phone Number: | 6179014459 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |