Wallace Alan Goelzer in Puyallup - Marriage & Family Therapist
Wallace Alan Goelzer - NPI 1982819504
Wallace Alan Goelzer is a Marriage & Family Therapist in Puyallup, Washington. Wallace Alan Goelzer practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Wallace Alan Goelzer is 1982819504. The last update date is 2007-07-08.
Wallace Alan Goelzer's current location address is 1618 Peach Park Ln Nw, Puyallup, Washington. You can contact this provider via phone number 2534451812. The mailing address for Wallace Alan Goelzer is 1618 Peach Park Ln Nw, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Alan Goelzer |
|---|---|
| Address | 1618 Peach Park Ln Nw, Puyallup, Washington |
| Phone Number | 2534451812 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LMFT |
NPI Number Detail
| NPI Number | 1982819504 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1618 Peach Park Ln Nw |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983714042 |
| Phone Number | 2534451812 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | LF00001777 |
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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 provider identifier assigned to Wallace Alan Goelzer?
The Wallace Alan Goelzer has been issued the NPI (National Provider Identifier) 1982819504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Wallace Alan Goelzer is geographically located?
The Wallace Alan Goelzer is physically situated at the following location: 1618 Peach Park Ln Nw, Puyallup, WA, 983714042.
What is Wallace Alan Goelzer's area of expertise and its corresponding taxonomy classification?
The Wallace Alan Goelzer's field of specialization is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Wallace Alan Goelzer receive the assignment of its 1982819504 from the Centers for Medicare & Medicaid Services?
The Wallace Alan Goelzer was issued its 1982819504 by the Centers for Medicare & Medicaid Services on 2007-05-14.
When was the information pertaining to Wallace Alan Goelzer most recently updated or revised?
The details related to Wallace Alan Goelzer, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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