MRS. JANE ANN WALLACE LPC
NPI 1366611675
Counselor - Professional in Wyomissing, PA
- Individual
- Female
- Counselor
- Professional
About JANE WALLACE
This page provides the complete NPI Profile along with additional information for Jane Wallace, a provider established in Wyomissing, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1366611675 assigned on February 2008. The practitioner's primary taxonomy code is 101YP2500X with license number PC004458 (PA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1366611675 Verify this NPI
- Provider Name
- MRS. JANE ANN WALLACE LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2201 RIDGEWOOD RD SUITE 400 WYOMISSING, PA 19610
- Location Phone
- (610) 378-9601
- Mailing Address
- 2201 RIDGEWOOD RD SUITE 400, PO BOX 6977 WYOMISSING, PA 19610
- Mailing Phone
- (610) 378-9601
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-21-2008
- Last Update Date
- 06-29-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PC004458
- License State
- PA
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WYOMISSING, PA 19610
WYOMISSING, PA 19610
WYOMISSING, PA 19610
WYOMISSING, PA 19610
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366611675, enumerated as an "individual" on February 21, 2008.
The provider is located at 2201 RIDGEWOOD RD SUITE 400 WYOMISSING, PA 19610 and the phone number is (610) 378-9601.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
