Wanda Wallace, DSW, LCSW

NPI 1043866411 · on the registry since 2019

Practice

Address: 9013 University Pkwy Ste C
Pensacola, FL 32514
Phone: (850) 380-8320
Fax: (850) 478-7802
Organisation at this address: Easterwood & Associates, Llc
Stone Ridge Counseling Center Inc
Seabreeze Endodontics Pensacola Pa
Advanced Geriatrics & Primary Care Llc
Braincare Performance Center - Pensacola Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida