National Provider Identifier
Catherine Kelly Wallace
Catherine Kelly Wallace is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 882-3151.
Profile Overview
- NPI
- 1679095178
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- July 17, 2017
- Last Updated
- July 21, 2022
Practice Location
- 625 Delaware Ave Ste 204
- Buffalo, NY 14202-1007
Phone: (716) 882-3151
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1679095178
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Catherine
- Middle Name
- Kelly
- Name Prefix
- Miss
- Mailing Street Address
- 625 Delaware Ave Ste 204
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1007
- Mailing Country
- US
- Mailing Phone
- (716) 882-3151
- Mailing Fax
- (716) 886-4022
- Practice Street Address
- 625 Delaware Ave Ste 204
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1007
- Practice Country
- US
- Practice Phone
- (716) 882-3151
- Practice Fax
- (716) 886-4022
- Enumeration Date
- July 17, 2017
- Last Updated
- July 21, 2022
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)