Wallace, Theresa
Wallace, Theresa is an sole proprietor health care provider with primary practice located at 147-26 18Th Ave , Whitestone NY 11357-3108. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wallace, Theresa can be contacted via phone (917) 613-3900.Contact Information
Primary practice address
147-26 18Th Ave
Whitestone NY 11357-3108
Phone: (917) 613-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | New York |
Profile Details
| NPI number | 1497096333 |
|---|---|
| LBN Legal business name | Wallace, Theresa |
| Credentials | MSED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2013 |
| Last updated | Jul 21st, 2022 - about 3 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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