Individual
DR. NICOLE MARIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3345 W 38TH AVE, DENVER, CO 80211-1909
(303) 500-3407
(303) 835-4500
Mailing address
3345 W 38TH AVE, DENVER, CO 80211-1909
(303) 500-3407
(303) 835-4500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY3627
CO
Other
Enumeration date
09/18/2013
Last updated
05/16/2024
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