Dr. Ian Joseph Wallace
Psychologist
200 Maritime Academy Dr The California Maritime Academy, Student Health Service
Vallejo
, California 94590-8181
Dr. Ian Joseph Wallace
Psychologist
200 Maritime Academy Dr The California Maritime Academy, Student Health Service
Vallejo
, California 94590-8181
(707) 654-1171
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Ian Joseph Wallace
- 200 Maritime Academy Dr The California Maritime Academy, Student Health Service
- Vallejo, CA
- Zip : 94590-8181
- Fax : (707) 654-1171
- Phone : (707) 654-1170
Second Address
- Dr. Ian Joseph Wallace
- 200 Maritime Academy Dr The California Maritime Academy, Student Health Service
- Vallejo, CA
- Zip : 94590-8181
- Fax : (707) 654-1171
- Phone : (707) 654-1170
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PSY# 23646 | CA |
| Y | 103T00000X | Psychologist | PSY# 23646 | CA |
National Provider Identifier
| NPI | 1013143262 |
|---|---|
| Provider Name | Dr. Ian Joseph Wallace |
| First Address | Vallejo, CA 94590-8181 |
| Second Address | Vallejo, CA 94590-8181 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2009 |
| Last Update Date | 23/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.