Organization
BETH WALLACH, MA, PSYCHOLOGIST, LLC
Active
Organization
BETH WALLACH, MA, PSYCHOLOGIST, LLC
Active
Other names
Elizabeth Wallach, MA, Psychologist, Beth or Elizabeth Daily Wallach MA
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WALLACH MA (PSYCHOLOGIST)
(724) 413-4991
Entity
Organization
Contact information
Practice address
1061 WATERDAM PLAZA DR STE 208, CANONSBURG, PA 15317-5408
(724) 413-4991
(724) 260-0221
Mailing address
1061 WATERDAM PLAZA DR STE 208, CANONSBURG, PA 15317-5408
(724) 413-4991
(724) 260-0221
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS6340L
PA
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001523992001
—
PA
Enumeration date
03/01/2007
Last updated
02/10/2023
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