Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC WALLACE, PHD
ActiveERIC WALLACE, PHD is a Counseling Psychologist healthcare provider located in SHAKER HEIGHTS, Ohio. NPI 1912409160 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · SHAKER HEIGHTS, OH
Registration Details
- NPI Number
- 1912409160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2018 (8.4896431260457 yrs)
- Last Updated
- Mar 20, 2019
- License
-
P.07864 (OH)
Practice Information
- Address
-
22001 FAIRMOUNT BLVDSHAKER HEIGHTS, OH, 441184819Browse OH providers · Browse ZIP 44118
- Phone
- 2163208456
- Primary Specialty
-
Counseling Psychologist
103TC1900X
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.