| Wallace & Associates | |
|
16000 W 9 Mile Rd Suite 615 Southfield MI 48075-4808 | |
| (248) 557-3820 | |
| Not Available |
| Full Name | Wallace & Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 16000 W 9 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Patricia Wallace (OWNER) |
| Authorized Official Contact | 2485573820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace & Associates 16000 W 9 Mile Rd Suite 615 Southfield MI 48075-4808 Ph: (248) 557-3820 | Wallace & Associates 16000 W 9 Mile Rd Suite 615 Southfield MI 48075-4808 Ph: (248) 557-3820 |
| NPI Number | 1033322987 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033322987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PW05231 (Michigan) | Primary |
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