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

Tahira Wallace

Individual provider Student Health Clinic/Center · NPI 1205783941

Tahira Wallace is a Student Health Clinic/Center in Silver Spring, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

14929 Notley Rd
Silver Spring, MD 20905-5821
Phone: (240) 444-9603
Show map & directions

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

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X (MD)

Record details

NPI number1205783941
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address14929 Notley Rd, Silver Spring, MD 20905-5821