Dustin P Wallace in Kansas City - Clinical Child & Adolescent
Dustin P Wallace - NPI 1710143250
Dustin P Wallace is a Clinical Child & Adolescent in Kansas City, Missouri. Dustin P Wallace practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Dustin P Wallace is 1710143250. The last update date is 2015-02-03.
Dustin P Wallace's current location address is 2401 Gillham Rd, Kansas City, Missouri. You can contact this provider via phone number 8162343000. The mailing address for Dustin P Wallace is 2401 Gillham Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dustin P Wallace |
|---|---|
| Address | 2401 Gillham Rd, Kansas City, Missouri |
| Phone Number | 8162343000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1710143250 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2015-02-03 |
Provider Mailing Address Detail
| Address | 2401 Gillham Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641084619 |
| Phone Number | 8162343000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2010009609 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Dustin P Wallace?
The Dustin P Wallace has been issued the NPI (National Provider Identifier) 1710143250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Dustin P Wallace located?
The Dustin P Wallace is located at 2401 Gillham Rd, Kansas City, MO 641084619.
What is Dustin P Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dustin P Wallace is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
On what date did the Dustin P Wallace receive the assignment of its 1710143250 from the Centers for Medicare & Medicaid Services?
The Dustin P Wallace was issued its 1710143250 by the Centers for Medicare & Medicaid Services on 2008-08-04.
As of what date were the details related to Dustin P Wallace most recently updated or revised?
The information pertaining to Dustin P Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-03.
Address: Po Box 2333, Clay, NY
Address: 11541 County Road 1, Fairhope, AL
Address: 5557 Carys Brook Ln, Gloucester, VA
Address: Po Box 2356, Guerneville, CA
Address: 176 Barnwood Dr, Edgewood, KY
Address: 1224 10th St, Coronado, CA
Address: 1259 S Cedar Crest Blvd, Allentown, PA
Address: 1438 W 38th St, Erie, PA
Address: Po Box 491000, Leesburg, FL
Address: 848 W Kings Hwy, Coatesville, PA
Address: 848 W Kings Hwy, Coatesville, PA
Address: 1191 Nw Tahoe Lane, Silverdale, WA
Address: 2022 Fifteenth Avenue, Columbus, GA
Address: 1315 W College Ave, State College, PA
Address: 1146 Opal Ct, Hagerstown, MD