Wallace, William L
Wallace, William L is an sole proprietor health care provider with primary practice located at 1448 15Th St Suite 203, Santa Monica CA 90404-2756. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wallace, William L can be contacted via phone (310) 451-2107.Contact Information
Primary practice address
1448 15Th St Suite 203
Santa Monica CA 90404-2756
Phone: (310) 451-2107
Fax: (310) 451-9665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY6312 | California |
Profile Details
| NPI number | 1366597635 |
|---|---|
| LBN Legal business name | Wallace, William L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 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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