Krysten Wall is a Clinical in Ann Arbor, Michigan. Krysten Wall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Krysten Wall is 1699863944. The last update date is 2014-03-28.
Krysten Wall's current location address is 2002 Hogback Rd, Ann Arbor, Michigan. You can contact this provider via phone number 7343953433. The mailing address for Krysten Wall is 2002 Hogback Rd, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krysten Wall |
|---|---|
| Address | 2002 Hogback Rd, Ann Arbor, Michigan |
| Phone Number | 7343953433 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1699863944 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2014-03-28 |
Provider Mailing Address Detail
| Address | 2002 Hogback Rd |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481059736 |
| Phone Number | 7343953433 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | DP00941504 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1733839 | WV | BC/BS | |
| 290040 | WV | ANTHEM BC/BS | |
| 3810002567 | WV | -- | |
| 290040 | WV | ANTHEM BC/CS | |
| 481428 | WV | VALUE OPTIONS | |
| 7379889 | WV | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Krysten Wall by the Centers for Medicare & Medicaid Services?
The Krysten Wall has been assigned the NPI (National Provider Identifier) 1699863944 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Krysten Wall is physically located?
The Krysten Wall is situated at the following address: 2002 Hogback Rd, Ann Arbor, MI 481059736.
What is Krysten Wall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Krysten Wall is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Krysten Wall's 1699863944 issued?
The Krysten Wall's 1699863944 was issued on 2006-10-11.
When was the information pertaining to Krysten Wall most recently updated or revised?
The details related to Krysten Wall, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-28.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN