Provider Demographics
NPI:1225173990
Name:WOLF, BARBARA HELEN (EDD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:HELEN
Last Name:WOLF
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 LARCH RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-3316
Mailing Address - Country:US
Mailing Address - Phone:617-498-9772
Mailing Address - Fax:
Practice Address - Street 1:38 LEXINGTON ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-5009
Practice Address - Country:US
Practice Address - Phone:617-498-9772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6242103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist