Wallace William Varonko
Counseling Psychologist
30 Taunton Greene Suite 5
Taunton
, Massachusetts 02780
Wallace William Varonko
Counseling Psychologist
30 Taunton Greene Suite 5
Taunton
, Massachusetts 02780
(781) 582-3838
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Wallace William Varonko
- 78 Bolas Road
- Duxbury, MA
- Zip : 02332
- Phone : (781) 582-3838
Second Address
- Wallace William Varonko
- 30 Taunton Greene Suite 5
- Taunton, MA
- Zip : 02780
- Fax : (508) 880-6655
- Phone : (508) 880-6666
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 4573 | MA |
National Provider Identifier
| NPI | 1003916313 |
|---|---|
| Provider Name | Wallace William Varonko |
| First Address | Duxbury, MA 02332 |
| Second Address | Taunton, MA 02780 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1311778 | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.