Wallace, Jaime

Wallace, Jaime is an sole proprietor health care provider with primary practice located at 198 Fernwood Ter , Garden City NY 11530-5010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wallace, Jaime can be contacted via phone (516) 457-4992.

Contact Information

Primary practice address
198 Fernwood Ter Garden City NY 11530-5010
Phone: (516) 457-4992
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8017984 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8017984 New York

Profile Details

NPI number 1366783557
LBN Legal business name Wallace, Jaime
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2013
Last updated Mar 13th, 2013 - about 13 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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