Kendrick Wallace
Rehabilitation Counselor
940 Avenue 64
Pasadena
, California 91105-2711
Kendrick Wallace
Rehabilitation Counselor
940 Avenue 64
Pasadena
, California 91105-2711
(323) 254-2274
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Kendrick Wallace
- 940 Avenue 64
- Pasadena, CA
- Zip : 91105-2711
- Phone : (323) 254-2274
Second Address
- Kendrick Wallace
- 940 Avenue 64
- Pasadena, CA
- Zip : 91105-2711
- Phone : (323) 254-2274
Reviews
FAQs
Where did Kendrick Wallace attend graduate school?
Where did Kendrick Wallace do his residency?
Where did Kendrick Wallace do his fellowship?
Is Kendrick Wallace board certified?
What type of doctor is Kendrick Wallace
In what state does Kendrick Wallace practice in?
Where is Kendrick Wallace ’s practice located?
What is Kendrick Wallace ’s gender?
Is Kendrick Wallace a sole practitioner?
Is Kendrick Wallace accepting new patients?
What languages does Kendrick Wallace speak?
Does Kendrick Wallace accept insurance?
Does Kendrick Wallace offers telemedicine?
What is Kendrick Wallace ’s professional license number?
What is Kendrick Wallace ’s NPI number?
Does Kendrick Wallace have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1043413156 |
|---|---|
| Provider Name | Kendrick Wallace |
| First Address | Pasadena, CA 91105-2711 |
| Second Address | Pasadena, CA 91105-2711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2007 |
| Last Update Date | 09/08/2007 |
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.