Matthew Wallace
Matthew Wallace is a Psychologist in Folsom, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
525 Willard Dr Apt 1634Folsom, CA 95630-4073
Phone: (818) 661-7882
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Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 33214 (CA) |
|---|
Record details
| NPI number | 1639811136 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 13, 2022 |
| Last updated in NPPES | April 13, 2022 |
| Certification date | April 13, 2022 |
| Mailing address | 525 Willard Dr Apt 1634, Folsom, CA 95630-4073 |
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