Wallace, Katherine Chandler
Wallace, Katherine Chandler is an individual health care provider with primary practice located at 1611 Cambridge St , Cambridge MA 02138-4302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Wallace, Katherine Chandler can be contacted via phone (617) 661-5515.Contact Information
Primary practice address
1611 Cambridge St
Cambridge MA 02138-4302
Phone: (617) 661-5515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | RN274714 | Massachusetts |
Profile Details
| NPI number | 1518261312 |
|---|---|
| LBN Legal business name | Wallace, Katherine Chandler |
| Credentials | PMHCNS-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2011 |
| Last updated | Jan 7th, 2011 - about 13 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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