Mary Wallace
Mary Wallace is a School Psychologist in Canton, Illinois. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1605 E Ash StCanton, IL 61520-1510
Phone: (309) 647-6951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Psychologist (primary) | Taxonomy 103TS0200X |
|---|
Record details
| NPI number | 1528585031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 25, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 1605 E Ash St, Canton, IL 61520-1510 |