Wallace, Jenna E

Wallace, Jenna E is an sole proprietor health care provider with primary practice located at 3729 Teays Valley Rd Ste 100, Hurricane WV 25526-9705. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wallace, Jenna E can be contacted via phone (304) 760-6040.

Contact Information

Primary practice address
3729 Teays Valley Rd Ste 100 Hurricane WV 25526-9705
Phone: (304) 760-6040
Fax: (304) 760-6042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X West Virginia

Profile Details

NPI number 1619364346
LBN Legal business name Wallace, Jenna E
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2015
Last updated Apr 8th, 2022 - 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.

Request for update

Popular Providers