IndividualActive
Bethany Wallace, LMT
NPI 1639988959 · Doula · Southington, CT
Provider details
- NPI number
- 1639988959
- Entity type
- Individual
- Primary specialty
- DoulaNursing Service Related Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
35 N Main St
Southington, CT 06489-2577
Phone: (860) 378-9659
Approximate (ZIP-level) locationGet directions
Mailing address
50 Lagana Ave
Plantsville, CT 06479
Registry dates
- Enumerated
- 2025-01-01
- Last updated
- 2025-01-01
- Certified
- 2025-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.