Wallace, Alyssaw
Wallace, Alyssaw is an individual health care provider with primary practice located at 9204 Montpelier Dr , Laurel MD 20708-2552. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wallace, Alyssaw can be contacted via phone (240) 653-7935.Contact Information
Primary practice address
9204 Montpelier Dr
Laurel MD 20708-2552
Phone: (240) 653-7935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1780349225 |
|---|---|
| LBN Legal business name | Wallace, Alyssaw |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2021 |
| Last updated | Oct 31st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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