Susan O'Brien Wallace in San Bernardino - Clinical
Susan O'Brien Wallace - NPI 1295907392
Susan O'Brien Wallace is a Clinical in San Bernardino, California. Susan O'Brien Wallace practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan O'Brien Wallace is 1295907392. The last update date is 2018-02-21.
Susan O'Brien Wallace's current location address is 1454 E 2nd St, San Bernardino, California. You can contact this provider via phone number 9093827100. The mailing address for Susan O'Brien Wallace is 1454 E 2nd St, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan O'Brien Wallace |
|---|---|
| Address | 1454 E 2nd St, San Bernardino, California |
| Phone Number | 9093827100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY. D. |
NPI Number Detail
| NPI Number | 1295907392 |
|---|---|
| Provider Enumeration Date | 2008-03-28 |
| Last Updated Date | 2018-02-21 |
Provider Mailing Address Detail
| Address | 1454 E 2nd St |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924080118 |
| Phone Number | 9093827100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY27744 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan O'Brien Wallace by the Centers for Medicare & Medicaid Services?
The Susan O'Brien Wallace has been issued the NPI (National Provider Identifier) 1295907392, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan O'Brien Wallace is located?
The Susan O'Brien Wallace is situated at the following address: 1454 E 2Nd St, San Bernardino, CA, 924080118.
What is Susan O'Brien Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan O'Brien Wallace is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295907392 to Susan O'Brien Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1295907392 to Susan O'Brien Wallace on 2008-03-28.
As of what date were the Susan O'Brien Wallace's details last updated?
The information pertaining to the Susan O'Brien Wallace, including its address, specialty, and other details, was most recently updated on 2018-02-21.
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