MR. BENNETT ALLAN WALLACE M.S.S.W
NPI 1699042788
Social Worker - Clinical in Louisville, KY
About Mr. Bennett Allan Wallace M.s.s.w NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BENNETT ALLAN WALLACE M.S.S.W (NPI 1699042788) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (3772) and active in the NPI registry since November 2011.
NPPES Registry Identity
Specialties & Licenses
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 Bennett Wallace's NPI number?
The NPI number for Bennett Wallace is 1699042788. It was assigned to this individual provider in the NPPES registry on November 17, 2011.
Where is Bennett Wallace located?
Bennett Wallace practices at 164 E Ashland Ave, Louisville, KY 40214. The listed phone number is (502) 693-2606.
What is Bennett Wallace's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Bennett Wallace was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.