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WILLIAM BLAINE-WALLACE
NPI 1730612839
Counselor - Professional in Farmington, ME

Active since April 05, 2017
456 NEW VINEYARD RD, FARMINGTON, ME 04938(207) 491-9645 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Blaine-wallace NPPES

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

WILLIAM BLAINE-WALLACE (NPI 1730612839) is an individual professional provider in Farmington, Maine, licensed in Maine (XP4415) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1730612839
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWILLIAM BLAINE-WALLACE
Location Address456 NEW VINEYARD RDFarmington, ME 04938-5216
Mailing Address456 New Vineyard RdFarmington, ME 04938-5216 · (207) 491-9645
Phone(207) 491-9645
Sole ProprietorYes
Enumeration DateApril 5, 2017
✔ NPI 1730612839 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 ME · XP4415
456 NEW VINEYARD RD, Farmington, ME 04938
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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 William Blaine-wallace's NPI number?

The NPI number for William Blaine-wallace is 1730612839. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is William Blaine-wallace located?

William Blaine-wallace practices at 456 New Vineyard Rd, Farmington, ME 04938. The listed phone number is (207) 491-9645.

What is William Blaine-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 William Blaine-wallace was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.