Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEVEN E WALLACE, CDCA
Active Sole ProprietorSTEVEN E WALLACE, CDCA is a Community/Behavioral Health healthcare provider located in CLEVELAND, Ohio. NPI 1073029864 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · CLEVELAND, OH
Registration Details
- NPI Number
- 1073029864
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2017 (8.6334477661116 yrs)
- Last Updated
- Dec 16, 2017
- License
-
CDCA.162346 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30800 CHAGRIN BLVDCLEVELAND, OH, 441245925Browse OH providers · Browse ZIP 44124
- Phone
- 2165910324
- Fax
- 2165911243
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in CLEVELAND, OH
| Name | Credential | NPI |
|---|---|---|
| DAWN PRISCILLA JONES | QMHS CMS | 1619176617 |
| RAYNITA M RIVERA | QMHS-3YRS | 1508191511 |
| TESSA HEUNG | — | 1861881245 |
| JESSICA THOMPSON | — | 1821458415 |
| STEPHEN BOND | — | 1467900019 |
| TYMIRA ANGELIQUE STENSON | CDCA | 1124547302 |
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.