Paul Wikstrom, LICSW

NPI 1952495053 · on the registry since 2006

Practice

Address: 75 Fenwood Rd
Boston, MA 02115
Phone: (617) 626-9330
Organisation at this address: Mass Mental Health Center
Commonwealth Of Massachusetts
The Commonwealth Of Massachusetts
Massachusetts Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 53

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts