MEDICARE: FRANCES WALTERS LPA, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	135PA	OTHER		BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1477630630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES WALTERS LPA, LMFT

Provider Business Mailing Address
First Line	:	1970 W ARLINGTON BLVD
Second Line	:	STE A
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5783
Country	:	US
Telephone Number	:	252-752-0300
Fax Number	:	252-439-5323

Provider Business Practice Location Address
First Line	:	1970 W ARLINGTON BLVD
Second Line	:	STE A
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5783
Country	:	US
Telephone Number	:	252-752-0300
Fax Number	:	252-439-5323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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