Active NPIIndividual provider

Bonnie J Wallace, MED

Counselor, Mental Health in Gardner, Massachusetts

NPI Number1346778511
Practice location
205 School St., # 202, Gardner, MA 01440
Fax
—
Last updated
May 31, 2017

Bonnie Jean Wallace is a Counselor, Mental Health based in Gardner, MA. Bonnie Jean Wallace practices in Gardner, MA and has the professional credentials of MED. The NPI Number for Bonnie Jean Wallace is 1346778511. The current practice location address for Bonnie Jean Wallace is 205 School St., # 202, Gardner, MA 01440 and can be reached out via phone at 978-632-2321.

Provider Profile Details

NPI Number
1346778511
Provider Name
Bonnie Jean Wallace
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
205 School St., # 202, Gardner, MA 01440
Phone Number
978-632-2321
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2017
Last Update Date
May 31, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
205 School St.
# 202
Gardner, MA 01440
Zip
01440
Phone Number
978-632-2321
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
Po Box 37
Fitzwilliam, NH 03447-0037
City
Fitzwilliam
State
NH
Zip
03447-0037
Phone Number
603-585-9010

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bonnie J Wallace, MED?

The NPI number of Bonnie J Wallace, MED is 1346778511. It was assigned on May 31, 2017 and is currently active in the NPPES registry.

What is the specialty of Bonnie J Wallace, MED?

Bonnie J Wallace, MED is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Bonnie J Wallace, MED practice?

The practice location is 205 School St., # 202, Gardner, MA 01440. The office can be reached at 978-632-2321 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346778511 directly on the NPPES registry website.

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