Seth Willard Wallace in Kensington - School
Seth Willard Wallace - NPI 1982894564
Seth Willard Wallace is a School in Kensington, Connecticut. Seth Willard Wallace practices all healthcare services and medical treatments related to School. The NPI Number for Seth Willard Wallace is 1982894564. The last update date is 2012-04-20.
Seth Willard Wallace's current location address is Po Box 303, Kensington, Connecticut. You can contact this provider via phone number 8608171331. The mailing address for Seth Willard Wallace is Po Box 303, Kensington, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Seth Willard Wallace |
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Address | Po Box 303, Kensington, Connecticut |
Phone Number | 8608171331 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D., M.S |
NPI Number Detail
NPI Number | 1982894564 |
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Provider Enumeration Date | 2007-07-30 |
Last Updated Date | 2012-04-20 |
Provider Mailing Address Detail
Address | Po Box 303 |
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City | Kensington |
State | Connecticut (CT) |
Post Code | 60370303 |
Phone Number | 8608171331 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | School |
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Taxonomy | 103Ts0200X |
Licence No | 070 CERTIFIC |
Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1604 | CT | LICENSE NUMBER AS PROFESS |
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What is the unique identifier code issued to Seth Willard Wallace by the Centers for Medicare & Medicaid Services?
The Seth Willard Wallace has been assigned the NPI (National Provider Identifier) 1982894564. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Seth Willard Wallace located?
The Seth Willard Wallace is located at Po Box 303, Kensington, CT 60370303.
What is Seth Willard Wallace's area of expertise and its corresponding taxonomy classification?
The Seth Willard Wallace's field of specialization is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their areas of practice.
When did the Seth Willard Wallace receive its 1982894564?
The Seth Willard Wallace was issued its 1982894564 on 2007-07-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Seth Willard Wallace's details last updated?
The information pertaining to the Seth Willard Wallace, including its address, specialty, and other details, was most recently updated on 2012-04-20.
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