SUSAN WALLACE, MD
Psychiatry & Neurology - Psychiatry
Active
Individual
NPI: 1255402160
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychiatry & Neurology - Psychiatry | 2084P0800X | Yes | G42602 (CA) |
Frequently Asked Questions
NPI 1255402160 is the National Provider Identifier for SUSAN WALLACE, MD, a Psychiatry & Neurology - Psychiatry provider located in Panorama City, CA. This NPI was enumerated on November 13, 2006.
SUSAN WALLACE, MD practices at 13652 CANTARA ST, Panorama City, CA 91402.
Quick Facts
- NPI
- 1255402160
- Type
- Individual
- Enumerated
- Nov 13, 2006
- Last Updated
- Apr 9, 2020
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