Katherine G. Wallace in Gorham - Marriage & Family Therapist
Katherine G. Wallace - NPI 1851516371
Katherine G. Wallace is a Marriage & Family Therapist in Gorham, Maine. Katherine G. Wallace practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Katherine G. Wallace is 1851516371. The last update date is 2007-07-09.
Katherine G. Wallace's current location address is 147 County Rd, Gorham, Maine. You can contact this provider via phone number 2078396291. The mailing address for Katherine G. Wallace is 147 County Rd, Gorham, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine G. Wallace |
|---|---|
| Address | 147 County Rd, Gorham, Maine |
| Phone Number | 2078396291 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1851516371 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 147 County Rd |
|---|---|
| City | Gorham |
| State | Maine (ME) |
| Post Code | 40381916 |
| Phone Number | 2078396291 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MF418 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43108 | ME | ANTHEM BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Katherine G. Wallace by the Centers for Medicare & Medicaid Services?
The Katherine G. Wallace has been assigned the NPI (National Provider Identifier) 1851516371. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Katherine G. Wallace's facilities are geographically located?
The facilities of Katherine G. Wallace are physically situated at the following location: 147 County Rd, Gorham, ME, 40381916.
What is Katherine G. Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Katherine G. Wallace is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851516371 to Katherine G. Wallace?
The Katherine G. Wallace received its 1851516371 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information pertaining to Katherine G. Wallace most recently updated or revised?
The details related to Katherine G. Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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