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 |
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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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