Individual
DR. IAN JOSEPH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
200 MARITIME ACADEMY DR, THE CALIFORNIA MARITIME ACADEMY, STUDENT HEALTH SERVICE, VALLEJO, CA 94590-8181
(707) 654-1170
(707) 654-1171
Mailing address
200 MARITIME ACADEMY DR, THE CALIFORNIA MARITIME ACADEMY, STUDENT HEALTH SERVICE, VALLEJO, CA 94590-8181
(707) 654-1170
(707) 654-1171
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY# 23646
CA
Other
Enumeration date
06/02/2009
Last updated
07/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us