Individual
DR. JAMES IRWIN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
40 MILFORD ST, HAMILTON, NY 13346-1009
(315) 750-6497
Mailing address
7295 BUTTERNUT LN, HAMILTON, NY 13346-2124
(315) 824-5809
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009265
NY
Other
Enumeration date
03/19/2007
Last updated
12/05/2011
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