Mary Wallace
NPI #1639297021 in Half Moon Bay, California
Provider Information
- NPI Number
- 1639297021
- Entity Type
- Individual
- Name
- Mary Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 225 CABRILLO HWY S
- Address 2
- SUITE 200A
- City
- Half Moon Bay
- State
- California
- ZIP Code
- 94019-8200
- Phone
- (650) 573-3724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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