Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYLE G WALLACE
Active Sole ProprietorLYLE G WALLACE is a School Social Worker healthcare provider located in WEST ORANGE, New Jersey. NPI 1992444954 is currently active in the NPPES registry. Verify at CMS.
School Social Worker · WEST ORANGE, NJ
Registration Details
- NPI Number
- 1992444954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2022 (4.2385784440942 yrs)
- Last Updated
- May 29, 2022
- License
-
44SL04765500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36 WALKER RDWEST ORANGE, NJ, 070524403Browse NJ providers · Browse ZIP 07052
- Phone
- 9737155591
- Primary Specialty
-
School Social Worker
1041S0200X
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.