Connie Lee Wallace in New Philadelphia - Professional
Connie Lee Wallace - NPI 1386668200
Connie Lee Wallace is a Professional in New Philadelphia, Ohio. Connie Lee Wallace practices all healthcare services and medical treatments related to Professional. The NPI Number for Connie Lee Wallace is 1386668200. The last update date is 2016-02-16.
Connie Lee Wallace's current location address is Po Box 534, New Philadelphia, Ohio. You can contact this provider via phone number 3303437400 and fax number 3303437414. The mailing address for Connie Lee Wallace is Po Box 534, New Philadelphia, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Lee Wallace |
|---|---|
| Address | Po Box 534, New Philadelphia, Ohio |
| Phone Number | 3303437400 |
| Fax Number | 3303437414 |
| Sole Proprietor | Y |
| Credentials | LPCC-S, CT |
NPI Number Detail
| NPI Number | 1386668200 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2016-02-16 |
Provider Mailing Address Detail
| Address | Po Box 534 |
|---|---|
| City | New Philadelphia |
| State | Ohio (OH) |
| Post Code | 446630534 |
| Phone Number | 3303437400 |
| Fax Number | 3303437414 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | E0001636-SUP |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 741212 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Connie Lee Wallace?
The Connie Lee Wallace has been issued the NPI (National Provider Identifier) 1386668200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Connie Lee Wallace?
The Connie Lee Wallace is physically situated at Po Box 534, in the city of New Philadelphia, state of OH, with the postal code 446630534.
What is the Connie Lee Wallace's area of specialization and corresponding taxonomy classification?
The Connie Lee Wallace's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1386668200 to Connie Lee Wallace?
The Connie Lee Wallace received its 1386668200 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the information pertaining to Connie Lee Wallace most recently updated or revised?
The details related to Connie Lee Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2016-02-16.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY