Timothy R Wallace in Charlestown - Psychologist
Timothy R Wallace - NPI 1437149739
Timothy R Wallace is a Psychologist in Charlestown, Massachusetts. Timothy R Wallace practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Timothy R Wallace is 1437149739. The last update date is 2007-07-08.
Timothy R Wallace's current location address is Po Box 9142, Charlestown, Massachusetts. You can contact this provider via phone number 6177240287 and fax number 6177262894. The mailing address for Timothy R Wallace is Po Box 9142, Charlestown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy R Wallace |
|---|---|
| Address | Po Box 9142, Charlestown, Massachusetts |
| Phone Number | 6177240287 |
| Fax Number | 6177262894 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1437149739 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 9142 |
|---|---|
| City | Charlestown |
| State | Massachusetts (MA) |
| Post Code | 21299142 |
| Phone Number | 6177240287 |
| Fax Number | 6177262894 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 4282 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 456014 | MA | TUFTS | |
| W50958 | MA | BCBS MA | |
| 395471 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Timothy R Wallace by the Centers for Medicare & Medicaid Services?
The Timothy R Wallace has been assigned the NPI (National Provider Identifier) 1437149739 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Timothy R Wallace located?
The Timothy R Wallace is located at Po Box 9142, Charlestown, MA 21299142.
What is Timothy R Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy R Wallace is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437149739 to Timothy R Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1437149739 to Timothy R Wallace on 2005-10-27.
As of what date was the information regarding Timothy R Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timothy R Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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