| Organization Name: | FAMILY WORKS PSYCHOLOGICAL AND ASSESSMENT SERVICES |
| NPI Number: | 1891169454 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIELLE ANDREA WAHBA (OWNER, MANAGING MEMBER) |
| Mailing Address: | 354 W Boylston St Suite 224 West Boylston |
| State: | MA US |
| Postal Code: | 015832373 |
| Phone Number: | 5087911454 |
| Fax Number: | 5087913318 |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |