Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory Roy Wallace, MSW

Individual provider Rehabilitation Practitioner · NPI 1073902250

Gregory Roy Wallace, MSW is a Rehabilitation Practitioner in Van Nuys, California. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

14545 Sherman Cir
Van Nuys, CA 91405-3087
Phone: (818) 374-6901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1073902250
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedJanuary 12, 2015
Last updated in NPPESJanuary 12, 2015
Mailing address14545 Sherman Cir, Van Nuys, CA 91405-3087

Other providers in Van Nuys