| Dr. Trisha D Wallis, Psychologist, Apc | |
|
425 University Ave Ste 100 Sacramento CA 95825-6508 | |
| (916) 996-5424 | |
| Not Available |
| Full Name | Dr. Trisha D Wallis, Psychologist, Apc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 425 University Ave Ste 100, Sacramento, California |
| Authorized Official Name and Position | Trisha D Wallis (PRESIDENT) |
| Authorized Official Contact | 9169965424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Trisha D Wallis, Psychologist, Apc Po Box 160322 Sacramento CA 95816-0322 Ph: (916) 996-5424 | Dr. Trisha D Wallis, Psychologist, Apc 425 University Ave Ste 100 Sacramento CA 95825-6508 Ph: (916) 996-5424 |
| NPI Number | 1346862620 |
|---|---|
| Provider Enumeration Date | 05/10/2020 |
| Last Update Date | 05/10/2020 |
| Certification Date | 05/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346862620 | NPI | - | NPPES |
| 1902958119 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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