Thomas Clyde Wallace in Pasadena - Psychiatry
Thomas Clyde Wallace - NPI 1801942933
Thomas Clyde Wallace is a Psychiatry in Pasadena, California. Thomas Clyde Wallace practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Thomas Clyde Wallace is 1801942933. The last update date is 2023-03-07.
Thomas Clyde Wallace's current location address is 10 Congress St, Pasadena, California. You can contact this provider via phone number 6264321640 and fax number 6267936381. The mailing address for Thomas Clyde Wallace is 10 Congress St, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Clyde Wallace |
|---|---|
| Address | 10 Congress St, Pasadena, California |
| Phone Number | 6264321640 |
| Fax Number | 6267936381 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1801942933 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 10 Congress St |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911053023 |
| Phone Number | 6264321640 |
| Fax Number | 6267936381 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | A-43490 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Thomas Clyde Wallace by the Centers for Medicare & Medicaid Services?
The Thomas Clyde Wallace has been issued the NPI (National Provider Identifier) 1801942933 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Thomas Clyde Wallace's facilities are situated?
The facilities of Thomas Clyde Wallace are physically located at the following address: 10 Congress St, Pasadena, CA, 911053023.
What is Thomas Clyde Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas Clyde Wallace is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
When was the Thomas Clyde Wallace's 1801942933 issued?
The Thomas Clyde Wallace's 1801942933 was issued on 2007-01-25.
As of what date were the details pertaining to Thomas Clyde Wallace last refreshed?
The information related to the Thomas Clyde Wallace, including its address, specialty, and other relevant details, was last updated on 2023-03-07.
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