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JUSTINE WALLACE
NPI 1487960662
Counselor - Professional in Newington, CT

Active since August 25, 2010
419 CEDAR ST, NEWINGTON, CT 06111(561) 271-5185 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justine Wallace NPPES

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

JUSTINE WALLACE (NPI 1487960662) is an individual professional provider in Newington, Connecticut, licensed in Connecticut (001902) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1487960662
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTINE WALLACE
Location Address419 CEDAR STNewington, CT 06111-1812
Mailing Address419 Cedar StNewington, CT 06111-1812
Phone(561) 271-5185
Sole ProprietorNo
Enumeration DateAugust 25, 2010
✔ NPI 1487960662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 001902
419 CEDAR ST, Newington, CT 06111
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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 Justine Wallace's NPI number?

The NPI number for Justine Wallace is 1487960662. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Where is Justine Wallace located?

Justine Wallace practices at 419 Cedar St, Newington, CT 06111. The listed phone number is (561) 271-5185.

What is Justine Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Justine Wallace was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.