Wallace, Joanna L

Wallace, Joanna L is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wallace, Joanna L can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 26254 California

Profile Details

NPI number 1811058431
LBN Legal business name Wallace, Joanna L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 14th, 2023 - about last year

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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