Patricia Faye Wallace-Burke in Pomona - Psychologist

Patricia Faye Wallace-Burke - NPI 1427199157

Patricia Faye Wallace-Burke is a Psychologist in Pomona, California. Patricia Faye Wallace-Burke practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Patricia Faye Wallace-Burke is 1427199157. The last update date is 2015-09-01.

Patricia Faye Wallace-Burke's current location address is 2008 N Garey Ave, Pomona, California. You can contact this provider via phone number 9096236131 and fax number 9098659281. The mailing address for Patricia Faye Wallace-Burke is 2008 N Garey Ave, Pomona, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Faye Wallace-Burke
Address 2008 N Garey Ave, Pomona, California
Phone Number 9096236131
Fax Number 9098659281
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1427199157
Provider Enumeration Date 2007-02-08
Last Updated Date 2015-09-01

Provider Mailing Address Detail

Address 2008 N Garey Ave
City Pomona
State California (CA)
Post Code 917672722
Phone Number 9096236131
Fax Number 9098659281

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY 16726
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Patricia Faye Wallace-Burke

What is the Patricia Faye Wallace-Burke's unique identification number?

The Patricia Faye Wallace-Burke has been assigned the NPI (National Provider Identifier) Number 1427199157 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Patricia Faye Wallace-Burke is geographically located?

The Patricia Faye Wallace-Burke is physically situated at the following location: 2008 N Garey Ave, Pomona, CA, 917672722.

What is Patricia Faye Wallace-Burke's specialized field of practice, and what is the corresponding taxonomy classification code?

The Patricia Faye Wallace-Burke's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

On what date did the Patricia Faye Wallace-Burke receive the assignment of its 1427199157 from the Centers for Medicare & Medicaid Services?

The Patricia Faye Wallace-Burke was issued its 1427199157 by the Centers for Medicare & Medicaid Services on 2007-02-08.

When was the information regarding Patricia Faye Wallace-Burke most recently updated?

The details pertaining to the Patricia Faye Wallace-Burke, including its address, specialty, and other relevant information, were last refreshed on 2015-09-01.

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