Wally W Juraschka in Memphis - Marriage & Family Therapist
Wally W Juraschka - NPI 1548383367
Wally W Juraschka is a Marriage & Family Therapist in Memphis, Tennessee. Wally W Juraschka practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Wally W Juraschka is 1548383367. The last update date is 2007-07-08.
Wally W Juraschka's current location address is 5575 Poplar Ave Ste 320, Memphis, Tennessee. You can contact this provider via phone number 9017630909 and fax number 9017634060. The mailing address for Wally W Juraschka is 5575 Poplar Ave Ste 320, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wally W Juraschka |
|---|---|
| Address | 5575 Poplar Ave Ste 320, Memphis, Tennessee |
| Phone Number | 9017630909 |
| Fax Number | 9017634060 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1548383367 |
|---|---|
| Provider Enumeration Date | 2007-04-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5575 Poplar Ave Ste 320 |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381193862 |
| Phone Number | 9017630909 |
| Fax Number | 9017634060 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | LMT 104 PE 1 |
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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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What is the unique identifier code issued to Wally W Juraschka by the Centers for Medicare & Medicaid Services?
The Wally W Juraschka has been assigned the NPI (National Provider Identifier) 1548383367. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Wally W Juraschka is located?
The Wally W Juraschka is situated at the following address: 5575 Poplar Ave Ste 320, Memphis, TN, 381193862.
What is Wally W Juraschka's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wally W Juraschka is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
When was the Wally W Juraschka's 1548383367 issued?
The Wally W Juraschka's 1548383367 was issued on 2007-04-08.
As of what date was the information regarding Wally W Juraschka, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wally W Juraschka, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH