BONNIE JEAN WALLACE MED
NPI 1346778511
Counselor - Mental Health in Gardner, MA
Active since May 31, 2017
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
Phone(978) 632-2321
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
The NPI number assigned to this healthcare provider is 1346778511, enumerated as an "individual" on May 31, 2017.
The provider is located at 205 SCHOOL ST. # 202 GARDNER, MA 01440 and the phone number is (978) 632-2321.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
