Organization · Type 2 NPI

Beth Wallach, Ma, Psychologist, LLC

Adult Mental Health Clinic/Center · Canonsburg, PA

NPI number 1285762336 Active

Practice location

1061 Waterdam Plaza Dr Ste 208
Canonsburg, PA 15317-5408

Fax (724) 260-0221

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	PS6340L (PA)
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Another provider at this address

Elizabeth Wallach, MAPsychologist Canonsburg, PA NPI 1750409041

Other adult mental health clinic/center providers in Canonsburg

See all in Canonsburg →

NPI record

NPI: 1285762336
Entity type: Organization (Type 2)
Issued: Mar 1, 2007
Last updated: Feb 10, 2023
Status: Active

Other names

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Beth Or Elizabeth Daily Wallach Ma · former legal business name
Elizabeth Wallach, Ma, Psychologist · former legal business name

Authorized official

Elizabeth Wallach, MA
Psychologist
(724) 413-4991

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285762336

Beth Wallach, Ma, Psychologist, LLC's National Provider Identifier is 1285762336, issued on Mar 1, 2007. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Canonsburg, PA. The record was last updated on Feb 10, 2023.