Wallace, Jacqueline D
Wallace, Jacqueline D is an sole proprietor health care provider with primary practice located at 447 West St Suite #3, Amherst MA 01002-2933. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallace, Jacqueline D can be contacted via phone (413) 253-2893.Contact Information
Primary practice address
447 West St Suite #3
Amherst MA 01002-2933
Phone: (413) 253-2893
Fax: (413) 253-2893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1016638 | Massachusetts |
Profile Details
| NPI number | 1497743504 |
|---|---|
| LBN Legal business name | Wallace, Jacqueline D |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jul 23rd, 2013 - about 11 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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