Search › Ohio › 171M00000X
Trevor Wallace, CDCA
NPI 1568965044 · on the registry since 2018
Practice
- Address
- 1201 Champlain St
Toledo, OH 43604 - Phone
- (567) 316-7253
- Organisation at this address
- Volunteers Of America Northwest Ohio, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-12
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 Ohio