Individual
WALTER JAMES HEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 CONWELL ST, GOSNOLD THORNE COUNSELING, PROVINCETOWN, MA 02657-1548
(508) 487-2449
(508) 487-1921
Mailing address
43 RACE POINT ROAD, UNIT B, GOSNOLD-THORNE COUNSELING, PROVINCETOWN, MA 02657
(508) 487-2449
(508) 487-1921
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
150216
MA
2084P0805X
Geriatric Psychiatry Physician
150216
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150216
TUFTS
MA
01
—
15512200
MAGELLAN
MA
01
—
260037303
UNITED HEALTHCARE
MA
05
—
3165540
—
MA
01
—
4383-01
PACIFICARE
MA
01
—
5293582
AETNA
MA
01
—
J18180
BLUE CROSS
MA
Enumeration date
02/21/2006
Last updated
01/12/2011
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