William Wallace, PHD

NPI 1366597635 · on the registry since 2007 · sole proprietor

Practice

Address: 1448 15th St
Suite 203
Santa Monica, CA 90404
Phone: (310) 451-2107
Fax: (310) 451-9665
Organisation at this address: Susan T Henderson
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: Psychologist
103T00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 California