Wallace, Richard J.

Wallace, Richard J. is an individual health care provider with primary practice located at 1930 Stuart St , Berkeley CA 94703-2215. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wallace, Richard J. can be contacted via phone (650) 558-5304.

Contact Information

Primary practice address
1930 Stuart St Berkeley CA 94703-2215
Phone: (650) 558-5304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1326199043
LBN Legal business name Wallace, Richard J.
Credentials MASTER
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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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