MEGAN A WALLACE


Address: 7330 W Layton Ave, Milwaukee, WI 53220-3849
Phone: 4148771071

MEGAN A WALLACE (NPI# 1962697185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962697185
Entity Type Individual
Full Name MEGAN A WALLACE
Credential BA
Practice Address 7330 W Layton Ave
Milwaukee
WI 53220-3849
Practice Telephone 4148771071
Mailing Telephone 4148771071
Enumeration Date 2007-09-11
Last Update Date 2019-12-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
15367-131 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39179700 05

Other Providers MEGAN WALLACE

NPI Name Taxonomy Address Enumeration
1447725957 Megan Elizabeth Wallace Behavior Technician 784 Kelsall Dr, Richmond Hill, GA 31324-7706 2018-10-11
1386181022 Megan Wallace Nurse Practitioner 2240 W Park Place Blvd Ste A, Stone Mountain, GA 30087-3543 2017-01-19
1972838878 Megan Ann Wallace Speech-Language Pathologist 1000 W 15th St, Unit 224, Chicago, IL 60608-1882 2009-10-09
1003385170 Megan Nicol Wallace Speech-Language Pathologist 1628 19th St, Lubbock, TX 79401-4895 2018-11-19
1780123521 Megan E. Wallace Physician Assistant 9500 Euclid Ave, Cleveland, OH 44195-0001 2017-02-13
1326420720 Megan Wallace Social Worker 67 President St, Msc 861, Iop 2 South, Charleston, SC 29425-5712 2015-06-22
1174911168 Megan Wallace Nurse Anesthetist, Certified Registered 375 Dixmyth Ave, Cincinnati, OH 45220-2475 2014-12-30
1881095933 Megan Wallace Counselor 110 E Main St, Ottumwa, IA 52501-2910 2014-09-09
1306252473 Megan Wallace Occupational Therapist 162 W 72nd St, 5th Floor, New York, NY 10023-3300 2014-07-09
1306192810 Megan M Wallace Audiologist 2502 E Empire St, Bloomington, IL 61704-3738 2012-08-02

Office Location

Street Address 7330 W LAYTON AVE
City MILWAUKEE
State WI
Zip Code 53220-3849

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538156369 Ali O Artar Psychiatry & Neurology 7330 W Layton Ave, Milwaukee, WI 53220-3849 2005-10-06
1760911945 Jacquelyn E Nasby Counselor 7330 W Layton Ave, Milwaukee, WI 53220 2017-06-09
1285163154 Michael Bortin Counselor 7330 W Layton Ave, Milwaukee, WI 53220-3849 2017-06-05
1619328069 Stefanie J Bailey Nurse Practitioner 7330 W Layton Ave, Milwaukee, WI 53220-3849 2016-06-27
1871723783 Heather E Sorensen Counselor 7330 W Layton Ave, Milwaukee, WI 53220-3849 2009-07-27
1013144252 Prachi Sharma Psychologist 7330 W Layton Ave, Milwaukee, WI 53220-3849 2009-06-15
1346302072 Robert Loiben Psychiatry & Neurology 7330 W Layton Ave, Milwaukee, WI 53220-3849 2006-12-16
1588725436 Jodi Leigh Dreier Nurse Practitioner 7330 W Layton Ave, Milwaukee, WI 53220-3849 2006-12-13
1760570931 Maryann Grochowski Social Worker 7330 W Layton Ave, American Behavioral Clinic, Milwaukee, WI 53227 2006-10-11
1306934476 Stephen Douglas Hart Social Worker 7330 W Layton Ave, American Behavioral Clinics Sc, Milwaukee, WI 53220-3849 2006-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871061069 Kathleen Elizabeth White Orthotist 6790 W. Layton Ave, Greenfield, WI 53220 2018-11-06
1992284087 Froedtert & The Medical College of Wisconsin Community Physicians Non-Pharmacy Dispensing Site 4859 South 60th Street, Greenfield, WI 53220 2018-08-09
1609394220 Aaron Park Speech-Language Pathologist 3540 S. 43rd St., Milwaukee, WI 53220 2017-09-04
1730601675 Rosaana Avila Physical Therapist 3944 S. 60th St., Milwaukee, WI 53220 2017-07-12
1285002667 Casey E Reis Nurse Practitioner 4848 S. 76th Street, Greenfield, WI 53220 2015-09-02
1437539798 Luke Robert Garceau Physical Therapist 6520 W. Layton Ave #101, Greenfield, WI 53220 2015-06-02
1295139012 Tammy Giannopoulos, LLC Clinic/Center 4402 S 68th St Suite 100, Greenfield, WI 53220 2014-10-22
1861754244 Lakeshore Medical Clinic Occupational Therapist 4444 West Loomis Road, 200, Greenfield, WI 53220 2012-06-12
1598083115 Rebecca Anne Kappes Licensed Practical Nurse 8208 W Tripoli, Milwaukee, WI 53220 2010-05-06
1699941005 Susan Marie Delaet Physical Therapy Assistant 5700 West Layton Ave, Greenfield, WI 53220 2008-05-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649879982 Veronicia S Green Counselor 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 2020-10-19
1932733193 1 Step Away Divine Counseling Service LLC Counselor 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 2020-02-26
1689216293 Carollyn Black Counselor 4892 N 19th St, Milwaukee, WI 53209-5757 2019-10-15
1861046146 Lisa Marie Ortiz Counselor 3336 S 76th St, Milwaukee, WI 53219-3805 2019-07-25
1891359576 Kenneth Ginlack Sr Consulting Services LLC Counselor 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 2019-04-27
1649733189 Stacey King Counselor Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 2019-04-11
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1992280218 Tanya Lynn Peters Counselor 9224 W Burleigh St, Milwaukee, WI 53222-3503 2018-10-02
1467948844 Alexcis Coleman Counselor 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 2018-07-09
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Competitor

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City MILWAUKEE
Zip Code 53220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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