Joel Wallace

NPI 1932455326 · on the registry since 2012 · sole proprietor

Practice

Address: 4732 S 131st St
Omaha, NE 68137
Phone: (402) 697-3923
Fax: (402) 697-3924
Organisation at this address: Beneficial Behavioral Health
Beneficial Behavioral Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 52

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-08-03

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 Nebraska