| Wallace Andrews | |
|
1121 W Bell Rd Ste 373 Phoenix AZ 85023-3516 | |
| (480) 925-1393 | |
| Not Available |
| Full Name | Wallace Andrews |
|---|---|
| Speciality | Behavior Technician |
| Location | 1121 W Bell Rd Ste 373, Phoenix, Arizona |
| Authorized Official Name and Position | Wallace Clyde Andrews (BHT/FACILITATOR/WELLNESS COACH) |
| Authorized Official Contact | 4809251393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Andrews 1453 N Dysart Rd Ste 322 Avondale AZ 85323-1539 Ph: (480) 925-1393 | Wallace Andrews 1121 W Bell Rd Ste 373 Phoenix AZ 85023-3516 Ph: (480) 925-1393 |
| NPI Number | 1124705587 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124705587 | NPI | - | NPPES |
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