| Doctor Name: | MS. PATRICIA GALE WALLERSTEIN |
| NPI Number: | 1093891871 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LICSW |
| License Number: | 1022652 |
| Business Practice Address: | 100 Main Street Suite 11 Amesbury, MA - 01913 |
| Business Phone Number: | 9783885311 |
| Business Fax Number: | 9783885571 |
| Mailing Address: | 11 10th Street, NEWBURY |
| State: | MA |
| Postal Code: | 01951 |
| Phone Number: | 9784636901 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1022652 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |