DR. DUSTIN WALLACE, PHD
Psychologist - Clinical Child & Adolescent
Active
Individual
NPI: 1710143250
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical Child & Adolescent | 103TC2200X | Yes | 2010009609 (MO) |
Frequently Asked Questions
NPI 1710143250 is the National Provider Identifier for DR. DUSTIN WALLACE, PHD, a Psychologist - Clinical Child & Adolescent provider located in Kansas City, MO. This NPI was enumerated on August 4, 2008.
DR. DUSTIN WALLACE, PHD practices at 2401 GILLHAM RD, Kansas City, MO 64108.
Quick Facts
- NPI
- 1710143250
- Type
- Individual
- Enumerated
- Aug 4, 2008
- Last Updated
- Feb 3, 2015
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