MRS. PATRICIA IRENE WALLACE


Address: 104 N 4th St, Hugo, OK 74743-4003
Phone: 5803267531

MRS. PATRICIA IRENE WALLACE (NPI# 1043336704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043336704
Entity Type Individual
Full Name MRS. PATRICIA IRENE WALLACE
Other Name MS. PATRICIA IRENE RUDROW
Credential LPC,LADC
Practice Address 104 N 4th St
Hugo
OK 74743-4003
Practice Telephone 5803267531
Practice Fax Number 5803262377
Mailing Telephone 5803267531
Mailing Fax Number 5803262377
Enumeration Date 2007-03-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
3190 OK Behavioral Health & Social Service Providers

Other Providers PATRICIA WALLACE

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1922434091 Patricia J Wallace Hearing Instrument Specialist 1 Chesterfield Mall, Chesterfield, MO 63017-4807 2013-09-20
1730683301 Patricia Sue Wallace Nurse Practitioner 106 Market Place Cir, Georgetown, KY 40324-7400 2018-03-20
1548762958 Patricia E. Wallace Counselor 3365 W Craig Rd Ste 25, North Las Vegas, NV 89032-5127 2018-03-01
1538606744 Patricia Wallace Occupational Therapist 1755 Wittington Pl Ste 175, Dallas, TX 75234-1905 2017-01-25
1215398722 Patricia Wallace Marriage & Family Therapist 901 N Pacific Coast Hwy, Suite 200a, Redondo Beach, CA 90277-2162 2016-03-10
1447553300 Patricia A Wallace Counselor 450 Rosewood Ave, Suite215, Camarillo, CA 93010-5914 2010-12-15
1164750741 Patricia Wallace Occupational Therapist 1818 W Worley St, Columbia, MO 65203-1038 2009-11-19
1174771281 Patricia M Wallace Acupuncturist 217 1st St, Neptune Beach, FL 32266-6145 2008-09-03
1033393780 Patricia Bonner Wallace Counselor 823 Evans St, Greenville, NC 27834-3267 2007-12-18
1861605719 Patricia Wallace Psychologist 16000 W 9 Mile Rd, Suite 615, Southfield, MI 48075-4808 2007-05-08

Office Location

Street Address 104 N 4TH ST
City HUGO
State OK
Zip Code 74743-4003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245433895 Marie Lindsay Pardue Registered Nurse 104 N 4th St, Hugo, OK 74743-4003 2007-06-08
1942429493 Mary Jane Noland Counselor 104 N 4th St, Hugo, OK 74743-4003 2007-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053817775 Emilia Sue Lopez Registered Nurse 2008 East 2110 Road, Hugo, OK 74743 2018-04-02
1144739657 Healing Hearts Counseling & Consulting, L.L.C. Clinic/Center 1212 East Kirk, Hugo, OK 74743 2017-09-27
1457801177 Kelli Lemke Nurse Practitioner 204 E. Jackson St., Hugo, OK 74743 2016-10-05
1780040147 Shabreka Dorshell Coleman Student in an Organized Health Care Education/Training Program 1475 North 4220 Road, Grant, OK 74743 2016-01-14
1063898161 Jaclyn Deann Rouse Optometrist 410 North M Street, Hugo, OK 74743 2015-07-31
1548519648 Tori L Fowler Counselor 112 W. Jackson, Hugo, OK 74743 2012-09-05
1174802219 Malinda Burnett Counselor 1100 David Roebuck Lane, Hugo, OK 74743 2011-08-08
1942591490 Joshua Asher Tims Clinic/Center 1213 E. Jackson St, Hugo, OK 74743 2011-05-02
1598998320 Kimberly Dawn Jones Social Worker 1717 1/2 West Jackson, Hugo, OK 74743 2009-08-27
1689812547 Adeline Youngblood Counselor 612 E Jackson, Hugo, OK 74743 2009-01-30
Find all providers in zip 74743

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790148997 The Therapy Tree Counselor 3519 E Jackson St, Hugo, OK 74743-4042 2016-04-04
1144643768 Bonnie Sims Counselor 1108 S 3rd St, Hugo, OK 74743-8008 2014-02-03
1245651538 Elizabeth Wulf Counselor 612 E. Jackson, Hugo, OK 74743-0000 2014-01-03
1124459359 Rachel Elizabeth Stringfellow Counselor 612 East Jackson, Hugo, OK 74743-0000 2013-12-13
1548519648 Tori L Fowler Counselor 112 W. Jackson, Hugo, OK 74743 2012-09-05
1730437310 Priscillla Gooch Counselor 705 West 13th Street, Hugo, OK 74525 2012-08-29
1891060091 Courtney Latimore Counselor 613 S 10th St, Hugo, OK 74743-4822 2012-03-20
1720368574 Jacqueline Kit Pipkin Counselor 305 Dorthy Orton Dr, Hugo, OK 74743-1067 2011-08-25
1497034359 Jane L Schreurs Counselor 1210 E Duke St, Hugo, OK 74743-4216 2011-08-10
1750660932 Patricia Ann Richard Counselor 300 N E St, Hugo, OK 74743-3208 2011-08-05
Find all providers in HUGO

Competitor

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City HUGO
Zip Code 74743

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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