Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TRACI L. WALLACE, PH.D.

Active

DR. TRACI L. WALLACE, PH.D. is a Psychologist healthcare provider located in CULVER CITY, California. NPI 1881630093 is currently active in the NPPES registry. Verify at CMS.

Psychologist · CULVER CITY, CA

Registration Details

NPI Number: 1881630093
Provider Type: Individual
Gender: Female
NPI Issued: Jun 22, 2006 (20.125945781705 yrs)
Last Updated: Jul 8, 2007
License: PSY14644 (CA)

Practice Information

Address: 10811 WASHINGTON BLVD.

SUITE 280

CULVER CITY, CA, 90066
Browse CA providers · Browse ZIP 90066
Phone: 3109394297
Fax: 3107452891
Primary Specialty: Psychologist
103T00000X

Other Psychologist Providers in CULVER CITY, CA

Name	Credential	NPI
VALERIE WITHERSPOON	PHD, RN, CS	1700850278
DR. PATRICIA A. ZIEGLER	PSY.D.	1063461531
MR. WALTER BROWN	PH.D.	1477658680
DR. KIMANI NORRINGTON-SANDS	PH.D.	1821160995
DR. WENDY WEN-HUI SUN	PSY.D.	1346370939
MRS. BERTA SKLANSKY	MSW LCSW	1093848871

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.