Wallace, Lyndsey

Wallace, Lyndsey is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Psychiatry, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wallace, Lyndsey can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9200 W Wisconsin Ave Department Of Psychiatry Milwaukee WI 53226-3522
Phone: (414) 805-3666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 3191 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3191 Wisconsin

Profile Details

NPI number 1174922066
LBN Legal business name Wallace, Lyndsey
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2014
Last updated Dec 2nd, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174922066 NPPES
Wisconsin MEDICAID 1174922066

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