Wendy Wan Colby

Individual provider Active NPI Mental Health Counselor · Framignham, MA

NPI 1871018689 · NPPES record last updated Apr 17, 2018

Key facts

NPI
1871018689
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3 Lockland Ave
Framignham, MA 01701-1492
Phone
(774) 489-2303
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3 Lockland Ave
Framignham, MA 01701-1492

Mailing address

3 Lockland Ave
Framingham, MA 01701

Other practice location 1

109 Oak St
Newton, MA 02464-1492
Phone (617) 916-5573

Sources for this page

Verify at the official NPI Registry.