Organization
CHRISTINA M WALLACE PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA WALLACE PSYD (OWNER)
(412) 974-8550
Entity
Organization
Contact information
Practice address
300 S WALNUT LN, BEAVER, PA 15009-1739
(412) 974-8550
Mailing address
301 MACNAB DR, MOON TOWNSHIP, PA 15108-9608
(412) 974-8550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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