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MR. COLEMAN W WALLACE
NPI 1720863913
Counselor - Pastoral in Willingboro, NJ

Active since August 28, 2023
15 EDGE CT, WILLINGBORO, NJ 08046(609) 500-7139 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Coleman W Wallace NPPES

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

MR. COLEMAN W WALLACE (NPI 1720863913) is an individual pastoral provider in Willingboro, New Jersey and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1720863913
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameMR. COLEMAN W WALLACE
Location Address15 EDGE CTWillingboro, NJ 08046-2412
Mailing Address15 Edge CtWillingboro, NJ 08046-2412 · (609) 500-7139
Phone(609) 500-7139
Sole ProprietorNo
Enumeration DateAugust 28, 2023
Last NPPES UpdateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1720863913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
15 EDGE CT, Willingboro, NJ 08046
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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 Coleman Wallace's NPI number?

The NPI number for Coleman Wallace is 1720863913. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Coleman Wallace located?

Coleman Wallace practices at 15 Edge Ct, Willingboro, NJ 08046. The listed phone number is (609) 500-7139.

What is Coleman Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Coleman Wallace was last updated on August 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.