Wallace, Eric

Wallace, Eric is an individual health care provider with primary practice located at 22001 Fairmount Blvd , Shaker Heights OH 44118-4819. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Wallace, Eric can be contacted via phone (216) 320-8456.

Contact Information

Primary practice address
22001 Fairmount Blvd Shaker Heights OH 44118-4819
Phone: (216) 320-8456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X P.07864 Ohio

Profile Details

NPI number 1912409160
LBN Legal business name Wallace, Eric
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2018
Last updated Mar 20th, 2019 - about 5 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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