Alycia Grace Wallace
Peer Specialist · Orange, CA
NPI number
1255975801
Practice location
401 S Tustin St Bldg COrange, CA 92866-2550
- Phone
- (714) 361-4860
- Fax
- (714) 361-4861
NPI record
- NPI
- 1255975801
- Entity type
- Individual (Type 1)
- Enumeration date
- November 6, 2019
- Last updated
- November 6, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Alycia Wallace
Alycia Grace Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 401 S Tustin St Bldg C, Orange, CA 92866-2550. The NPI number 1255975801 was assigned on November 6, 2019 and the record was last updated on November 6, 2019.
Frequently asked questions
What is the NPI number of Alycia Grace Wallace?
The NPI number is 1255975801.
What is the phone number of Alycia Wallace?
The phone number listed for the practice location is (714) 361-4860.
Where is Alycia Wallace located?
401 S Tustin St Bldg C, Orange, CA 92866-2550.
What is the taxonomy code for Alycia Wallace?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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