Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL DAVID WALLACE
Active Sole ProprietorLicensed Genetic Counselor · STOCKTON, CA
Registration Details
- NPI Number
- 1114044799
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.073350901033 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT 26296 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1212 N CALIFORNIA STSTOCKTON, CA, 952021552Browse CA providers · Browse ZIP 95202
- Phone
- 2094683760
- Primary Specialty
-
Licensed Genetic Counselor
167G00000X
Other Licensed Genetic Counselor Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MISS EN SORM | — | 1518076249 |
| DIVINA PALAFOX | LPT | 1912061995 |
| PROF. REMEDIOS AGUADA WALLACE | — | 1639294341 |
| MR. JOHN D SCHAEFFER | MFT | 1235256207 |
| MS. JANYCE KATHLEEN MULHERN | PSYCH. TECH. | 1811015191 |
| MS. GLORIA ANN GREENING | PSYCHIATRIC TECHNICI | 1417074071 |
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.