Individual
APRIL D WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2189-057
WI
103T00000X
Psychologist
LP2603
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413704
MEDICA
—
01
—
2189057
WI STATE LICENSE
WI
01
—
27G52WA
BLUE CROSS FACILITY
MN
05
—
39129500
—
WI
01
—
47386934001
WI BLUE CROSS
WI
01
—
474668299
CHAMPUS TRICARE
—
05
—
596713900
—
MN
01
—
64Q42WA
BLUE CROSS PRO FEE
MN
01
—
680012001
RAILROAD MEDICARE
—
01
—
HP27845
HEALTHPARTNERS
—
01
—
LP2603
MN STATE LICENSE
MN
01
—
NA9031022307
PREFERREDONE
—
Enumeration date
09/21/2006
Last updated
02/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us