Healthcare Provider Details

I. General information

NPI: 1912831140
Provider Name (Legal Business Name): ROBIN HAMILTON BLISS WEDELL-WALKER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 KING ST
NORTHAMPTON MA
01060-2297
US

IV. Provider business mailing address

4 BAY RD BLDG B
HADLEY MA
01035-9568
US

V. Phone/Fax

Practice location:
  • Phone: 413-200-8024
  • Fax: 413-726-6001
Mailing address:
  • Phone: 413-200-8024
  • Fax: 413-726-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: