Wall, Maryann
Wall, Maryann is an individual health care provider with primary practice located at 7340 Jackson St , Philadelphia PA 19136-4008. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wall, Maryann can be contacted via phone (215) 624-5691.Contact Information
Primary practice address
7340 Jackson St
Philadelphia PA 19136-4008
Phone: (215) 624-5691
Fax: (215) 624-5816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW013986 | Pennsylvania |
Profile Details
| NPI number | 1730115536 |
|---|---|
| LBN Legal business name | Wall, Maryann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Feb 4th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730115536 | NPPES |
| Pennsylvania | Other | 7073245 | AETNA |
| Pennsylvania | Other | 2139104000 | AETNA |
Popular Providers
-
Guarnaccia, Francis John
255 South 17Th Street Suite 1509, Philadelphia PA 19103-2813 -
Kahn, Faye Landau
2300 Walnut St Suite # 609, Philadelphia PA 19103-5552 -
Port, Tamar Judith
1420 Locust St Apt 34K , Philadelphia PA 19102-4222 -
Stoffey, Janine M.
5675 N Front St , Philadelphia PA 19120-2719 -
Davidoff, Gail
1420 Locust St #28Q, Philadelphia PA 19102-4223 -
Ellis, Stephen Day
313 S 16Th St , Philadelphia PA 19102-4908 -
Sklaroff, Elissa
2401 Penna Ave #7047, Philadelphia PA 19130-3077 -
Barron, Laurie
255 S 17Th St Suite 1509, Philadelphia PA 19103-6231