Wallace, Judith

Wallace, Judith is an individual health care provider with primary practice located at 1221 W 5Th St , Sheridan WY 82801-2701. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wallace, Judith can be contacted via phone (307) 674-4405.

Contact Information

Primary practice address
1221 W 5Th St Sheridan WY 82801-2701
Phone: (307) 674-4405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X A-030 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X 2478 Wyoming
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 352 Wyoming
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1359 Wyoming

Profile Details

NPI number 1205373107
LBN Legal business name Wallace, Judith
Credentials MAC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2017
Last updated Jan 30th, 2026 - about 9 months 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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