Wallerstein, Patricia Gale
Wallerstein, Patricia Gale is an individual health care provider with primary practice located at 100 Main Street Suite 11, Amesbury MA 01913. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallerstein, Patricia Gale can be contacted via phone (978) 388-5311.Contact Information
Primary practice address
100 Main Street Suite 11
Amesbury MA 01913
Phone: (978) 388-5311
Fax: (978) 388-5571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1022652 | Massachusetts |
Profile Details
| NPI number | 1093891871 |
|---|---|
| LBN Legal business name | Wallerstein, Patricia Gale |
| Credentials | MSW LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1093891871 | NPPES |
| Massachusetts | Other | 102265 | TUFTS |
| Massachusetts | Other | PP0352 | TUFTS |
| Massachusetts | MEDICAID | 1890247 | TUFTS |
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