Individual
AMY E WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 963-6270
Mailing address
199 STRATTON RD, RUTLAND, VT 05701-4890
(802) 775-7798
(802) 775-7762
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P4265
TX
2084P0802X
Addiction Psychiatry Physician
8845
VT
2084P0802X
Addiction Psychiatry Physician
C142161
CA
Other
Enumeration date
08/11/2006
Last updated
05/01/2019
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