Wallace, Stephanie L
Wallace, Stephanie L is an individual health care provider with primary practice located at 1212 Hancock St Ste 205 , Quincy MA 02169-4371. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wallace, Stephanie L can be contacted via phone (617) 750-0183.Contact Information
Primary practice address
1212 Hancock St Ste 205
Quincy MA 02169-4371
Phone: (617) 750-0183
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1699 | Massachusetts |
Profile Details
| NPI number | 1407483878 |
|---|---|
| LBN Legal business name | Wallace, Stephanie L |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2020 |
| Last updated | Mar 25th, 2020 - about 6 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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