DR. John Wallace, PH.D.

NPI #1841483047 in Harrison, New York

Provider Information

NPI Number: 1841483047
Entity Type: Individual
Name: DR. John Wallace, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 275 NORTH ST
City: Harrison
State: New York
ZIP Code: 10528-1524
Phone: (914) 337-6033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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