Walter Moore Wallace in Oxford - Clinical
Walter Moore Wallace - NPI 1124203062
Walter Moore Wallace is a Clinical in Oxford, Mississippi. Walter Moore Wallace practices all healthcare services and medical treatments related to Clinical. The NPI Number for Walter Moore Wallace is 1124203062. The last update date is 2008-01-09.
Walter Moore Wallace's current location address is 152 Highway 7 S, Oxford, Mississippi. You can contact this provider via phone number 6622347521 and fax number 6622363071. The mailing address for Walter Moore Wallace is 152 Highway 7 S, Oxford, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Moore Wallace |
|---|---|
| Address | 152 Highway 7 S, Oxford, Mississippi |
| Phone Number | 6622347521 |
| Fax Number | 6622363071 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1124203062 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 152 Highway 7 S |
|---|---|
| City | Oxford |
| State | Mississippi (MS) |
| Post Code | 386555392 |
| Phone Number | 6622347521 |
| Fax Number | 6622363071 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C5978 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Walter Moore Wallace?
The Walter Moore Wallace has been issued the NPI (National Provider Identifier) 1124203062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Walter Moore Wallace located?
The Walter Moore Wallace is located at 152 Highway 7 S, Oxford, MS 386555392.
What is Walter Moore Wallace'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 Walter Moore Wallace is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124203062 to Walter Moore Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1124203062 to Walter Moore Wallace on 2008-01-09.
As of what date was the information pertaining to Walter Moore Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Walter Moore Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-09.
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