Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN JAMES MOYER-WILKES, M.ED., NCC
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · BOYLSTON, MA
Registration Details
- NPI Number
- 1851639488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2013 (13.262913525763 yrs)
- Last Updated
- Jan 16, 2013
- Licenses
-
463166 (MA)C062011002701 (CT)10606058 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 ELMWOOD PLBOYLSTON, MA, 015052040Browse MA providers · Browse ZIP 01505
- Phone
- 5088690197
- Fax
- 5088690313
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
- Additional Specialty
- School Counselor
- Additional Specialty
- School Counselor
- Additional Specialty
- Residential Treatment, Emotionally Disturbed Children
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.