Laura Wallis is a Clinical in Springfield, Massachusetts. Laura Wallis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Wallis is 1689768590. The last update date is 2007-07-08.
Laura Wallis's current location address is 110 Maple St, Springfield, Massachusetts. You can contact this provider via phone number 4137343151. The mailing address for Laura Wallis is 110 Maple St, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Laura Wallis |
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Address | 110 Maple St, Springfield, Massachusetts |
Phone Number | 4137343151 |
Fax Number | |
Sole Proprietor | N |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1689768590 |
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Provider Enumeration Date | 2006-10-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 110 Maple St |
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City | Springfield |
State | Massachusetts (MA) |
Post Code | 11051864 |
Phone Number | 4137343151 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 111512 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Laura Wallis's 1689768590?
The Laura Wallis's NPI (National Provider Identifier) Number is 1689768590. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Laura Wallis?
The Laura Wallis is physically situated at 110 Maple St, in the city of Springfield, state of MA, with the postal code 11051864.
What is Laura Wallis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Laura Wallis is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Laura Wallis receive the assignment of its 1689768590 from the Centers for Medicare & Medicaid Services?
The Laura Wallis was issued its 1689768590 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details pertaining to Laura Wallis last refreshed?
The information related to the Laura Wallis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.