Search › Maine › 101YP2500X
Jill Wallace, M.ED,LCPC
NPI 1992029664 · on the registry since 2010 · sole proprietor
Practice
- Address
- 56 Elm St
Topsham, ME 04086 - Phone
- (207) 449-5729
- Fax
- (866) 531-8540
- Organisation at this address
- Sra Healthcare, Llc
Alaimo Health Partners LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine