Matthew Wallace
Psychologist · Folsom, CA
Practice location
525 Willard Dr Apt 1634Folsom, CA 95630-4073
- Phone
- (818) 661-7882
NPI record
- NPI
- 1639811136
- Entity type
- Individual (Type 1)
- Enumeration date
- April 13, 2022
- Last updated
- April 13, 2022
- Certified
- April 13, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
33214 | CA |
About Matthew Wallace
Matthew Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 525 Willard Dr Apt 1634, Folsom, CA 95630-4073. The NPI number 1639811136 was assigned on April 13, 2022 and the record was last updated on April 13, 2022.
Matthew Wallace lists a license in the registry: #33214 (CA) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Matthew Wallace?
The NPI number is 1639811136.
What is the phone number of Matthew Wallace?
The phone number listed for the practice location is (818) 661-7882.
Where is Matthew Wallace located?
525 Willard Dr Apt 1634, Folsom, CA 95630-4073.
What is the taxonomy code for Matthew Wallace?
The primary taxonomy code is 103T00000X – Psychologist.
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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