ALICIA A WALLACE M.ED - NPI 1356539217

Q: What is Alicia Wallace's NPI number?

The NPI number for Alicia Wallace is 1356539217. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Q: What is Alicia Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Wallace was last updated on October 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Alicia A Wallace M.ed NPPES

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

ALICIA A WALLACE M.ED (NPI 1356539217) is an individual counselor in Keene, New Hampshire and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1356539217

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameALICIA A WALLACECredential: M.ED

Location Address17 93RD STKeene, NH 03431-3748

Mailing Address39 Grove St Apt 2Peterborough, NH 03458-1408

Phone(603) 357-5270

Sole ProprietorNo

Enumeration DateOctober 4, 2007

✔ NPI 1356539217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

17 93RD ST, Keene, NH 03431

Open in Google Maps ↗