Elizabeth Wallach, Ma, Psychologist
LBN: Beth Wallach, Ma, Psychologist, Llc
Elizabeth Wallach, Ma, Psychologist is an health care organization with primary practice located at 1061 Waterdam Plaza Dr Ste 208 , Canonsburg PA 15317-5408. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Beth Wallach, Ma, Psychologist, Llc can be contacted via phone (724) 413-4991, or through Wallach, Elizabeth via phone (724) 413-4991.
Contact Information
Primary practice address
1061 Waterdam Plaza Dr Ste 208
Canonsburg PA 15317-5408
Phone: (724) 413-4991
Fax: (724) 260-0221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS6340L | Pennsylvania |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1285762336 |
|---|---|
| LBN Legal business name | Beth Wallach, Ma, Psychologist, Llc |
| DBA Doing business as | Elizabeth Wallach, Ma, Psychologist |
| Authorized official | Wallach, Elizabeth Master of Arts (MA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Feb 10th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285762336 | NPPES |
| Pennsylvania | MEDICAID | 001523992001 |
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