| Dr Ian Joseph Wallace, PHD | |
|
200 Maritime Academy Dr, The California Maritime Academy, Student Health Service, Vallejo, CA 94590-8181 | |
| (707) 654-1170 | |
| (707) 654-1171 |
| Full Name | Dr Ian Joseph Wallace |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 200 Maritime Academy Dr, Vallejo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013143262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY# 23646 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian Joseph Wallace, PHD 200 Maritime Academy Dr, The California Maritime Academy, Student Health Service, Vallejo, CA 94590-8181 Ph: (707) 654-1170 | Dr Ian Joseph Wallace, PHD 200 Maritime Academy Dr, The California Maritime Academy, Student Health Service, Vallejo, CA 94590-8181 Ph: (707) 654-1170 |
Dr. Richard Henry Von Feldt, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 800 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1050 | |
Dr. Sureli K Patel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 251 Georgia St, Vallejo, CA 94590 Phone: 707-558-8195 | |
Maurice Williams, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Ascot Pkwy, Vallejo, CA 94591 Phone: 707-556-5700 | |
Kelsey Roper, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3536 | |
Shasta Marie Ihorn, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1761 Broadway St, Ste 100, Vallejo, CA 94589 Phone: 707-645-2700 | |
Dr. Patricia J Dwyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Bay View South, Vallejo, CA 94589 Phone: 707-651-4451 |