Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE THOMAS WALLS
Active Sole ProprietorJACQUELINE THOMAS WALLS is a Emotionally Disturbed Children Residential Treatment healthcare provider located in DEMOPOLIS, Alabama. NPI 1033656939 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · DEMOPOLIS, AL
Registration Details
- NPI Number
- 1033656939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2017 (9.5822296558684 yrs)
- Last Updated
- Jan 30, 2017
- License
-
1-080172 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
803 FLOYD AVEDEMOPOLIS, AL, 367323157Browse AL providers · Browse ZIP 36732
- Phone
- 3343496916
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.