DR. James Irwin Wallace, PH.D.

NPI #1215051917 in Hamilton, New York

Provider Information

NPI Number: 1215051917
Entity Type: Individual
Name: DR. James Irwin Wallace, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Mar 19, 2007
Last Updated: Dec 5, 2011

Practice Location

Address: 40 MILFORD ST
City: Hamilton
State: New York
ZIP Code: 13346-1009
Phone: (315) 750-6497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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