Roger A Wallace, MA in Arden, NC - Psychologist

Roger A Wallace, MA is a Psychologist based in Arden, North Carolina. Roger A Wallace is licensed to practice in North Carolina (license number 1179) and his current practice location is 410 Mills Gap Rd., Arden, North Carolina. He can be reached at his office (for appointments etc.) via phone at (828) 654-0111.

NPI number for Roger A Wallace is 1053501783 and his current mailing address is Po Box 127, Arden, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053501783.

Contact Information

	Roger A Wallace, MA
	410 Mills Gap Rd., Arden, NC 28704
	(828) 654-0111
	(828) 654-0111

Healthcare Provider's Profile

Full Name	Roger A Wallace
Gender	Male
Speciality	Psychologist
Location	410 Mills Gap Rd., Arden, North Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1053501783
Provider Enumeration Date: 07/30/2007
Last Update Date: 10/16/2008

Medical Identifiers

Medical identifiers for Roger A Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053501783	NPI	-	NPPES
6107178	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1179 (North Carolina)	Primary

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. Roger A 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
Roger A Wallace, MA Po Box 127, Arden, NC 28704-0127 Ph: (828) 654-0111	Roger A Wallace, MA 410 Mills Gap Rd., Arden, NC 28704 Ph: (828) 654-0111

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Psychologist in Arden, NC

Dr. Rebecca Norton, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Clayton Rd, Hope Network, Arden, NC 28704
Phone: 828-651-6290

Roger A Wallace, MA - Psychologist in Arden, NC