DR. JENNIFER COON-WALLMAN


Address: 76 Bedford St, Suite 10, Lexington, MA 02420-4646
Phone: 7818691350

DR. JENNIFER COON-WALLMAN (NPI# 1275760118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275760118
Entity Type Individual
Full Name DR. JENNIFER COON-WALLMAN
Credential PSY.D.
Practice Address 76 Bedford St
Suite 10
Lexington
MA 02420-4646
Mailing Address 76 Bedford Street
Suite 10
Lexington
MA 02420
Practice Telephone 7818691350
Mailing Telephone 7818691350
Enumeration Date 2009-06-18
Last Update Date 2009-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
8099 MA Behavioral Health & Social Service Providers

Office Location

Street Address 76 BEDFORD ST
SUITE 10
City LEXINGTON
State MA
Zip Code 02420-4646

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1164778387 Kevin M Kozin Social Worker 76 Bedford St, Suite 22, Lexington, MA 02420-4646 2012-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568958643 Kristen Gargiulo Physical Therapist 57 Bedord Street, Ste 202, Lexington, MA 02420 2018-07-02
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1629590443 Jeffrey Phillip Winer Psychologist 57 Bedford St Ste 230, Lexington, MA 02420 2017-07-13
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1710387915 Niravkumar Patel Internal Medicine 4 Hadley Rd, Lexington, MA 02420 2014-08-26
1316368749 Triad Adolescent Services Counselor 363 Mass Ave, Suite 204, Lexington, MA 02420 2014-01-03
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1780941914 Varun Kapur Surgery 33 York St, Lexington, MA 02420 2012-04-12
1992091433 Karolyn Mary Franz Acupuncturist 238 Bedford St Ste 5, Lexington, MA 02420 2011-06-23
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1760948939 True North Counseling & Development, Pllc Psychologist 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 2019-02-13
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1629590443 Jeffrey Phillip Winer Psychologist 57 Bedford St Ste 230, Lexington, MA 02420 2017-07-13
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Competitor

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City LEXINGTON
Zip Code 02420

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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