MYISHA WALLACE
Marriage & Family Therapist
Active
Individual
NPI: 1659062891
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes | IMT3816 (FL) |
Frequently Asked Questions
NPI 1659062891 is the National Provider Identifier for MYISHA WALLACE, a Marriage & Family Therapist provider located in Riverview, FL. This NPI was enumerated on May 18, 2023.
MYISHA WALLACE practices at 13190 ROYAL PINES AVE, Riverview, FL 33579.
Quick Facts
- NPI
- 1659062891
- Type
- Individual
- Enumerated
- May 18, 2023
- Last Updated
- May 18, 2023
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