Individual
DR. GEMMA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
345 BLACKSTONE BLVD STE 2, PROVIDENCE, RI 02906-4829
(401) 455-6200
Mailing address
414 E VAN NESS PL, SALT LAKE CITY, UT 84111-4312
(315) 750-6733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS02336
RI
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/07/2016
Last updated
05/30/2025
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