Ebony Wallace

  • NPI 1720532526
According to our database, the NPI number for Ebony Wallace is 1720532526 and activated since 7 years ago. Ebony Wallace is an individual provider who specializes in Psychiatric/Mental Health, and the primary practice location is 9808 Venice Blvd, Culver City, CA 90232. You can also contact Ebony Wallace via telephone number is (310) 945-3350. Provider NPI information was last updated on 08/09/2016.

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Overview of Ebony Wallace

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/09/2016
  • Last updated: 08/09/2016

Primary Scrop of Practice

  • Taxonomy Code: 163WP0808X
  • Specialty: Psychiatric/Mental Health
  • License Number: 747356
  • License State: CA

Provider Mailing Address

  • Address: 9808 Venice Blvd
    Culver City, CA 90232
  • Phone: 310-945-3350
  • Fax: 310-945-3356

Provider Practice Location

  • Address: 9808 Venice Blvd
    Culver City, CA 90232
  • Phone: 310-945-3350
  • Fax: 310-945-3356

Scope of Practice

  • Taxonomy Code: 163WP0808X
  • Specialty: Psychiatric/Mental Health
  • License Number: 747356
  • License State: CA
  • 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 Ebony Wallace?
  • A: The npi number for Ebony Wallace is 1720532526.
  • Q: What are Ebony Wallace's specialties?
  • A: Ebony Wallace's specialties are Psychiatric/Mental Health and different specialities.
  • Q: What is the medical license for Ebony Wallace?
  • A: The medical license number for Ebony Wallace is 747356 and issued in CA in USA.
  • Q: Where is Ebony Wallace practice location?
  • A: Ebony Wallace is practicing at 9808 Venice Blvd, Culver City, CA 90232.
  • Q: How to contact Ebony Wallace?
  • A: You can contact Ebony Wallace via 310-945-3350.
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