Active NPIIndividual providerSole proprietor

Pamela M Wallace

Counselor, Mental Health in Dorchester Center, Massachusetts

NPI Number1407154768
Practice location
917 Blue Hill Ave, #5, Dorchester Center, MA 02124-2948
Fax
—
Last updated
March 9, 2011

Pamela Michelle Wallace is a Counselor, Mental Health based in Dorchester Center, MA. Pamela Michelle Wallace practices in Dorchester Center, MA. The NPI Number for Pamela Michelle Wallace is 1407154768. The current practice location address for Pamela Michelle Wallace is 917 Blue Hill Ave, #5, Dorchester Center, MA 02124-2948 and can be reached out via phone at 617-980-4662.

Provider Profile Details

NPI Number
1407154768
Provider Name
Pamela Michelle Wallace
Provider Entity Type
Individual
Gender
Female
Address
917 Blue Hill Ave, #5, Dorchester Center, MA 02124-2948
Phone Number
617-980-4662
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 9, 2011
Last Update Date
March 9, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
917 Blue Hill Ave
#5
Dorchester Center, MA 02124-2948
Zip
02124-2948
Phone Number
617-980-4662
Dorchester Center, MA 02124Get directions →

Provider Business Mailing Address Details

Address
917 Blue Hill Ave
#5
Dorchester Center, MA 02124-2948
City
Dorchester Center
State
MA
Zip
02124-2948
Phone Number
617-980-4662

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 Pamela M Wallace?

The NPI number of Pamela M Wallace is 1407154768. It was assigned on March 9, 2011 and is currently active in the NPPES registry.

What is the specialty of Pamela M Wallace?

Pamela M Wallace is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Pamela M Wallace practice?

The practice location is 917 Blue Hill Ave, #5, Dorchester Center, MA 02124-2948. The office can be reached at 617-980-4662 (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 1407154768 directly on the NPPES registry website.

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