Katherine H Wallace (NPI# 1801385349, PAC ID# 1557616281) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1801385349 |
| PAC ID by PECOS | 1557616281 |
| Professional Enrollment ID | I20180620001228 |
| Full Name | Katherine H Wallace |
| Organization Legal Name | WELLSPRING CHILD AND FAMILY PSYCHOLOGY, PC |
| Address |
615 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-8407 |
| Phone Number | 5402683388 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5294036513 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 615 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8407 | 5402683388 | WELLSPRING CHILD AND FAMILY PSYCHOLOGY, PC |
| Organization Legal Name | WELLSPRING CHILD AND FAMILY PSYCHOLOGY, PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne Piette | Clinical Psychologist | Wellspring Child and Family Psychology, PC | 510 Princess Anne St, Suite 101, Fredericksburg, VA 22401-6077 |
| Nicole E Pernod-liboy | Psychologist, Clinical | Wellspring Child and Family Psychology, PC | 615 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8407 |
| Robyn Alycia Zakalik Van Brunt | Psychologist, Clinical | Wellspring Child and Family Psychology, PC | 615 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8407 |
| Catherine A Conger | Clinical Social Worker | Wellspring Child and Family Psychology, PC | 615 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8407 |
| Elisabeth M Jerome | Psychologist, Clinical | Wellspring Child and Family Psychology, PC | 615 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8407 |
| Street Address |
615 JEFFERSON DAVIS HWY SUITE 101 |
| City | FREDERICKSBURG |
| State | VA |
| Zip | 22401-8407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole E Pernod-liboy | Psychologist, Clinical | Wellspring Child and Family Psychology, PC | 615 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8407 |
| Robyn Alycia Zakalik Van Brunt | Psychologist, Clinical | Wellspring Child and Family Psychology, PC | 615 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8407 |
| Catherine A Conger | Clinical Social Worker | Wellspring Child and Family Psychology, PC | 615 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8407 |
| Elisabeth M Jerome | Psychologist, Clinical | Wellspring Child and Family Psychology, PC | 615 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt R Larson | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Steven J Ma | Family Medicine | 605 Jefferson Davis Hwy, Suite 201, Fredericksburg, VA 22401 | |
| Anders C Brandt | Physical Therapy | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Joseph P Gowaty | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Timothy Neary | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond K Chung | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Scott M Krushinski | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond S Kirchmier Jr. | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Allison N Baldwin | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Joanne M Kaiman | Physical Therapy | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Find all physicians in zip 22401 | |||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FREDERICKSBURG + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Katherine H Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.