Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN R. WALLIS, D.MIN.
ActiveDR. JOHN R. WALLIS, D.MIN. is a Pastoral Counselor healthcare provider located in FT LAUDERDALE, Florida. NPI 1023161197 is currently active in the NPPES registry. Verify at CMS.
Pastoral Counselor · FT LAUDERDALE, FL
Registration Details
- NPI Number
- 1023161197
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2007 (19.614505317045 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MT1251 (FL)
Practice Information
- Address
-
1417 SE 4TH STFT LAUDERDALE, FL, 333012319Browse FL providers · Browse ZIP 33301
- Phone
- 9544632273
- Fax
- 9547791643
- Primary Specialty
-
Pastoral Counselor
101YP1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.