DENISE ELIZABETH WALLACE


Address: 7310 Woodward Ave Ste 401, Detroit, MI 48202-3165
Phone: 3135508810

DENISE ELIZABETH WALLACE (NPI# 1235644469) 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) 1235644469
Entity Type Individual
Full Name DENISE ELIZABETH WALLACE
Credential MA, LLP
Practice Address 7310 Woodward Ave Ste 401
Detroit
MI 48202-3165
Practice Telephone 3135508810
Mailing Telephone 3135508810
Enumeration Date 2017-12-11
Last Update Date 2017-12-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6301009769 MI Behavioral Health & Social Service Providers

Other Providers DENISE WALLACE

NPI Name Taxonomy Address Enumeration
1144607938 Denise Marie Wallace Marriage & Family Therapist 1315 Weatherbee Dr., Winston-salem, NC 27103 2015-04-30
1083165443 Denise Wallace Rehabilitation Practitioner 801 E Chapman Ave, Suite #203, Fullerton, CA 92831-3839 2016-10-20
1457754699 Denise Wallace Counselor 661 E Main St, Abingdon, VA 24210-2339 2014-10-02
1497041602 Denise Michcell Wallace Counselor 368 Fell St, San Francisco, CA 94102-5144 2011-06-26
1902040678 Denise Eileen Wallace Counselor 600 1st Ave, Suite 531, Seattle, WA 98104-2216 2009-04-26
1467604678 Denise Renee Wallace Psychologist 2500 Nutwood Ave, Fullerton, CA 92831-3104 2008-10-21

Office Location

Street Address 7310 WOODWARD AVE STE 401
City DETROIT
State MI
Zip Code 48202-3165

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
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1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528675568 Andria Lynn Norman Psychologist 71 Garfield St Apt 270, Detroit, MI 48201-1907 2020-09-24
1639793011 Lori Hale Psychologist 1071 W Lantz St, Detroit, MI 48203-5100 2020-06-02
1043728819 Sami Farhat Psychologist 1025 E Forest Ave Bldg C, Detroit, MI 48207-1024 2018-01-16
1669843850 Amyna Ftouni Psychologist 553 E Jefferson Ave, Detroit, MI 48226-4324 2015-10-13
1326424078 Wendy Pandora Cody Psychologist 11253 Somerset Ave, Detroit, MI 48224-1128 2015-08-05
1629475199 Renee Bouey Psychologist 18480 Lancashire St, Detroit, MI 48223-1325 2014-11-29
1649697343 Shelby Wilson-drummond Psychologist 70 W Alexandrine St, Detroit, MI 48201-2051 2014-03-20
1184068975 Shara L. Johnson Psychologist 19511 Greenfield Rd, Detroit, MI 48235-2016 2013-04-23
1649511015 Lindsay Yeager Carr Psychologist 2629 Lenox St, Detroit, MI 48215-2667 2013-03-11
1013258904 Juanika L Benson Psychologist 2566 E Grand Blvd Apt 307, Detroit, MI 48211-2026 2013-03-03
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Competitor

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City DETROIT
Zip Code 48202

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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