Individual
MS. MARCY MARIE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSSP, PA
Contact information
Practice address
14340 TORREY CHASE BLVD STE 160, HOUSTON, TX 77014-1040
(281) 580-8086
(281) 580-7129
Mailing address
14340 TORREY CHASE BLVD STE 160, HOUSTON, TX 77014-1040
(281) 580-8086
(281) 580-7129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30544
TX
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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