Wall, Johanne B

Wall, Johanne B is an individual health care provider with primary practice located at 4445 Talbot Rd S , Renton WA 98055-6219. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wall, Johanne B can be contacted via phone (425) 656-4055.

Contact Information

Primary practice address
4445 Talbot Rd S Renton WA 98055-6219
Fax: (425) 656-5425
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH0004974 Washington

Profile Details

NPI number 1902849284
LBN Legal business name Wall, Johanne B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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