MARY WALLACE

Registered Nurse - Psychiatric/Mental Health

Active Individual
NPI: 1639297021

Practice Address

225 CABRILLO HWY S
SUITE 200A
Half Moon Bay, CA 94019

Phone: (650) 573-3724

Specialties

Specialty Code Primary License
Marriage & Family Therapist 106H00000X No MFC31243 (CA)
Registered Nurse - Psychiatric/Mental Health 163WP0808X Yes 219605 (CA)

Frequently Asked Questions

NPI 1639297021 is the National Provider Identifier for MARY WALLACE, a Registered Nurse - Psychiatric/Mental Health provider located in Half Moon Bay, CA. This NPI was enumerated on March 26, 2007.
MARY WALLACE practices at 225 CABRILLO HWY S, SUITE 200A, Half Moon Bay, CA 94019.

Quick Facts

NPI
1639297021
Type
Individual
Enumerated
Mar 26, 2007
Last Updated
Sep 11, 2025

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