Wallace, April D

Wallace, April D is an individual health care provider with primary practice located at 235 E State St , Saint Croix Falls WI 54024-4117. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wallace, April D can be contacted via phone (715) 483-3221.

Contact Information

Primary practice address
235 E State St Saint Croix Falls WI 54024-4117
Phone: (715) 483-3221
Fax: (715) 483-0507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2189-057 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2603 Minnesota

Profile Details

NPI number 1629177480
LBN Legal business name Wallace, April D
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 2nd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629177480 NPPES
Other 0413704 MEDICA
Other 2189057 MEDICA
Other 27G52WA MEDICA
Other HP27845 MEDICA
MEDICAID 39129500 MEDICA
Other 47386934001 MEDICA
Other 474668299 MEDICA
Other 64Q42WA MEDICA
Other LP2603 MEDICA
MEDICAID 596713900 MEDICA
Other 680012001 MEDICA
Other NA9031022307 MEDICA

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