Wallace, Theodore

Wallace, Theodore is an sole proprietor health care provider with primary practice located at 66 Rockhaven Court , Reading PA 19606. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Wallace, Theodore can be contacted via phone (215) 399-8996.

Contact Information

Primary practice address
66 Rockhaven Court Reading PA 19606
Phone: (215) 399-8996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BH0001046 Pennsylvania

Profile Details

NPI number 1225431190
LBN Legal business name Wallace, Theodore
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2014
Last updated Oct 6th, 2014 - about 12 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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