Provider Demographics
NPI:1750920807
Name:WANG-WIRBS, HAN
Entity type:Individual
Prefix:
First Name:HAN
Middle Name:
Last Name:WANG-WIRBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:WANG-WIRBS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HW
Mailing Address - Street 1:23 WILTON ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-2547
Mailing Address - Country:US
Mailing Address - Phone:859-229-4576
Mailing Address - Fax:
Practice Address - Street 1:25 ARLINGTON ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2124
Practice Address - Country:US
Practice Address - Phone:857-331-2541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health