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

Mary Wallace

Individual provider Marriage & Family Therapist · NPI 1639297021

Mary Wallace is a Marriage & Family Therapist in Half Moon Bay, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

225 Cabrillo Hwy S Ste 200A
Half Moon Bay, CA 94019-8200
Phone: (650) 573-3724
Fax: (650) 726-4963
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 219605 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MFC31243 (CA)

Record details

NPI number1639297021
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESSeptember 11, 2025

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