Individual
DR. JULIE SCHROEDER WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4334 NW EXPRESSWAY, SUITE 102, OKLAHOMA CITY, OK 73116-1515
(405) 740-8800
(405) 657-2556
Mailing address
1701 NW 193RD CIR, EDMOND, OK 73012-3553
(405) 740-8800
(405) 657-2556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
823
OK
Other
Enumeration date
09/11/2012
Last updated
02/22/2016
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