Shareefa Akisia Wallace
NPI #1760901615 in Richmond Hill, New York
Provider Information
- NPI Number
- 1760901615
- Entity Type
- Individual
- Name
- Shareefa Akisia Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Sep 12, 2017
- Last Updated
- Sep 12, 2017
Practice Location
- Address
- 8725 136TH ST
- City
- Richmond Hill
- State
- New York
- ZIP Code
- 11418-1924
- Phone
- (718) 291-2807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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