Individual
DR. ANNE M. WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3327 ORION AVE, CINCINNATI, OH 45213-1707
(513) 531-6116
(513) 531-4640
Mailing address
3327 ORION AVE, CINCINNATI, OH 45213-1707
(513) 531-6116
(513) 531-4640
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
1240
KY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
5360
OH
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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