Most Relevant Information
Provider Data
| NPI Number: | 1003398066 |
| Provider Name: | MICHELE WICK PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2018 |
| Last Updated: | 09/05/2018 |
Provider Practice Location
59 MASSASOIT ST
NORTHAMPTON
MA
010602015
Practice Location Phone/Fax
| Phone: | 4133207414 |
| Fax: |
Provider Mailing Location
59 MASSASOIT ST
NORTHAMPTON
MA
010602015
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |