Patricia Faye Wallace-Burke in Pomona - Clinical
Patricia Faye Wallace-Burke - NPI 1427199157
Patricia Faye Wallace-Burke is a Clinical in Pomona, California. Patricia Faye Wallace-Burke practices all healthcare services and medical treatments related to Clinical. 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 | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 16726 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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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 Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
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.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH