Individual
DR. BRUCE STERLING WALLACE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3631 E 1ST ST APT 2, LONG BEACH, CA 90803-2793
(323) 770-3058
Mailing address
3631 E 1ST ST APT 2, LONG BEACH, CA 90803-2793
(323) 770-3058
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31610
CA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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