Individual
DR. DREW D WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6893 SW 18TH ST, SUITE F-101, BOCA RATON, FL 33433-7044
(954) 303-6693
(561) 447-7621
Mailing address
6893 SW 18TH ST, SUITE F-101, BOCA RATON, FL 33433-7044
(954) 303-6693
(561) 447-7621
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6717
FL
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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