MR. Edward S Wallach, LCSW, PH.D.

NPI #1003238205 in Staten Island, New York

Provider Information

NPI Number
1003238205
Entity Type
Individual
Name
MR. Edward S Wallach, LCSW, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, PH.D.
Enumeration Date
Jan 8, 2014
Last Updated
Jan 8, 2014

Practice Location

Address
673 STEWART AVENUE
ZIP Code
10314
Phone
(718) 698-1795

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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