Deborah A Wall in Elizabethtown - Addiction (substance Use Disorder)
Deborah A Wall - NPI 1629111968
Deborah A Wall is a Addiction (substance Use Disorder) in Elizabethtown, Kentucky. Deborah A Wall practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Deborah A Wall is 1629111968. The last update date is 2007-07-08.
Deborah A Wall's current location address is 107 Cranes Roost Ct, Elizabethtown, Kentucky. You can contact this provider via phone number 2707652605 and fax number 2702348572. The mailing address for Deborah A Wall is 107 Cranes Roost Ct, Elizabethtown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah A Wall |
|---|---|
| Address | 107 Cranes Roost Ct, Elizabethtown, Kentucky |
| Phone Number | 2707652605 |
| Fax Number | 2702348572 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629111968 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 Cranes Roost Ct |
|---|---|
| City | Elizabethtown |
| State | Kentucky (KY) |
| Post Code | 427013650 |
| Phone Number | 2707652605 |
| Fax Number | 2702348572 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30605018 | KY | -- |
Post Comment/ Review Below
What is the Deborah A Wall's unique identification number?
The Deborah A Wall has been assigned the NPI (National Provider Identifier) Number 1629111968 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Deborah A Wall?
The Deborah A Wall is situated at 107 Cranes Roost Ct, in the city of Elizabethtown, state of KY, with the zip code 427013650.
What is the area of specialization for Deborah A Wall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Deborah A Wall is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did Deborah A Wall receive its 1629111968 assignment from the Centers for Medicare & Medicaid Services?
The Deborah A Wall was assigned its 1629111968 on 2007-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Deborah A Wall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Deborah A Wall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.