Juraschka, Wally W
Juraschka, Wally W is an sole proprietor health care provider with primary practice located at 5575 Poplar Ave Ste 320 , Memphis TN 38119-3862. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Juraschka, Wally W can be contacted via phone (901) 763-0909.Contact Information
Primary practice address
5575 Poplar Ave Ste 320
Memphis TN 38119-3862
Phone: (901) 763-0909
Fax: (901) 763-4060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMT 104 PE 151 | Tennessee |
Profile Details
| NPI number | 1548383367 |
|---|---|
| LBN Legal business name | Juraschka, Wally W |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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