Wallace, Gemma

Wallace, Gemma is an individual health care provider with primary practice located at 345 Blackstone Blvd Ste 2 , Providence RI 02906-4829. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wallace, Gemma can be contacted via phone (401) 455-6200.

Contact Information

Primary practice address
345 Blackstone Blvd Ste 2 Providence RI 02906-4829
Phone: (401) 455-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS02336 Rhode Island
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1093257123
LBN Legal business name Wallace, Gemma
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2016
Last updated May 30th, 2025 - about last year

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.

Request for update

Popular Providers