MEDICARE: HAN WANG-WIRBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		MA

General Provider Information

NPI Number	:	1750920807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAN WANG-WIRBS

Provider Business Mailing Address
First Line	:	23 WILTON ST
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02145-2547
Country	:	US
Telephone Number	:	859-229-4576
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 ARLINGTON ST
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-2124
Country	:	US
Telephone Number	:	857-331-2541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2020
Last Update Date	:	09/10/2025

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Directions to “ HAN WANG-WIRBS ” Practice Location

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