Wallace, Mary

Wallace, Mary is an individual health care provider with primary practice located at 225 Cabrillo Hwy S Suite 200A, Half Moon Bay CA 94019-8200. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Wallace, Mary can be contacted via phone (650) 573-3724.

Contact Information

Primary practice address
225 Cabrillo Hwy S Suite 200A Half Moon Bay CA 94019-8200
Phone: (650) 573-3724
Fax: (650) 726-4963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC31243 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 219605 California

Profile Details

NPI number 1639297021
LBN Legal business name Wallace, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 18 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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