Louise Ann Will-wallace, PHD is a
Psychologist - Clinical based in Falling Waters, West Virginia. Louise Ann Will-wallace is licensed to practice in South Carolina (license number 499) and her current practice location is
21 Crawford Quarry Rd Ste 4, Falling Waters, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(803) 422-0792.
NPI number for Louise Ann Will-wallace is 1679511034 and her current mailing address is 21 Crawford Quarry Rd Ste 4, Falling Waters, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679511034.
Healthcare Provider's Profile
Full Name | Louise Ann Will-wallace |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 21 Crawford Quarry Rd Ste 4, Falling Waters, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679511034
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 12/02/2013
Medical Identifiers
Medical identifiers for Louise Ann Will-wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679511034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 499 (South Carolina) | Primary |
103TC0700X | Psychologist - Clinical | 1081 (West Virginia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Louise Ann Will-wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Louise Ann Will-wallace, PHD 21 Crawford Quarry Rd Ste 4, Falling Waters, WV 25419-4695 Ph: (803) 422-0792 | Louise Ann Will-wallace, PHD 21 Crawford Quarry Rd Ste 4, Falling Waters, WV 25419-4695 Ph: (803) 422-0792 |
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