Wallace, Elisabeth Neelon
Wallace, Elisabeth Neelon is an sole proprietor health care provider with primary practice located at 481 Concord Ave , Lexington MA 02421-8007. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wallace, Elisabeth Neelon can be contacted via phone (781) 354-7327.Contact Information
Primary practice address
481 Concord Ave
Lexington MA 02421-8007
Phone: (781) 354-7327
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1023735 | Massachusetts |
Profile Details
| NPI number | 1497811822 |
|---|---|
| LBN Legal business name | Wallace, Elisabeth Neelon |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Oct 9th, 2012 - about 12 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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