Eric Wallace, PHD
NPI #1912409160 in Shaker Heights, Ohio
Provider Information
- NPI Number
- 1912409160
- Entity Type
- Individual
- Name
- Eric Wallace, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Counseling
- Credential
- PHD
- Enumeration Date
- Mar 5, 2018
- Last Updated
- Mar 20, 2019
Practice Location
- Address
- 22001 FAIRMOUNT BLVD
- City
- Shaker Heights
- State
- Ohio
- ZIP Code
- 44118-4819
- Phone
- (216) 320-8456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Counseling — Counseling |
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