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Search › California › 103T00000X

Traci Wallace, PH.D

NPI 1881630093 · on the registry since 2006

Practice

Address
10811 Washington Blvd.
Suite 280
Culver City, CA 90066
Phone
(310) 939-4297
Fax
(310) 745-2891
Organisation at this address
Kella Dds Corp
Exodus Recovery Inc
Oasis Neurology And Pain Institute Inc
Individual, Couples And Family Therapy Inc.
Rebecca Danelski Licensed Clinical Social Worker, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
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