Dedra Wallace

  • NPI 1063810877
According to our database, the NPI number for Dedra Wallace is 1063810877 and activated since 9 years ago. Dedra Wallace is an individual provider who specializes in Professional, and the primary practice location is 1302 Chinook Ln, Pueblo, CO 81001. You can also contact Dedra Wallace via telephone number is (719) 545-2746. Provider NPI information was last updated on 10/19/2016.

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Overview of Dedra Wallace

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/10/2014
  • Last updated: 10/19/2016

Primary Scrop of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: LPC.0013214
  • License State: CO

Provider Mailing Address

  • Address: 41 Montebello Road
    Suite 200
    Pueblo, CO 81004
  • Phone: 719-545-2746
  • Fax: 719-545-4100

Provider Practice Location

  • Address: 1302 Chinook Ln
    Pueblo, CO 81001
  • Phone: 719-545-2746
  • Fax: 719-545-4100

Scope of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: LPC.001321
  • License State: CO
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dedra Wallace?
  • A: The npi number for Dedra Wallace is 1063810877.
  • Q: What are Dedra Wallace's specialties?
  • A: Dedra Wallace's specialties are Professional and different specialities.
  • Q: What is the medical license for Dedra Wallace?
  • A: The medical license number for Dedra Wallace is LPC.0013214 and issued in CO in USA.
  • Q: Where is Dedra Wallace practice location?
  • A: Dedra Wallace is practicing at 1302 Chinook Ln, Pueblo, CO 81001.
  • Q: How to contact Dedra Wallace?
  • A: You can contact Dedra Wallace via 719-545-2746.
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