Wallace, William L

Wallace, William L is an sole proprietor health care provider with primary practice located at 1448 15Th St Suite 203, Santa Monica CA 90404-2756. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wallace, William L can be contacted via phone (310) 451-2107.

Contact Information

Primary practice address
1448 15Th St Suite 203 Santa Monica CA 90404-2756
Phone: (310) 451-2107
Fax: (310) 451-9665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY6312 California

Profile Details

NPI number 1366597635
LBN Legal business name Wallace, William L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 19 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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