BONNIE JEAN WALLACE MED
NPI 1346778511
Counselor - Mental Health in Gardner, MA

Active since May 31, 2017
205 SCHOOL ST., # 202, GARDNER, MA 01440(978) 632-2321 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonnie Jean Wallace Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNIE JEAN WALLACE MED (NPI 1346778511) is an individual mental health provider in Gardner, Massachusetts and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1346778511
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBONNIE JEAN WALLACECredential: MED
Location Address205 SCHOOL ST., # 202Gardner, MA 01440
Mailing AddressPo Box 37Fitzwilliam, NH 03447-0037 · (603) 585-9010
Sole ProprietorNo
Enumeration DateMay 31, 2017
NPI 1346778511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
205 SCHOOL ST., Gardner, MA 01440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Wallace's NPI number?

The NPI number for Bonnie Wallace is 1346778511. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Bonnie Wallace located?

Bonnie Wallace practices at 205 School St. # 202, Gardner, MA 01440. The listed phone number is (978) 632-2321.

What is Bonnie Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bonnie Wallace was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.