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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301009769 | MI | Behavioral Health & Social Service Providers |
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 |
Street Address |
7310 WOODWARD AVE STE 401 |
City | DETROIT |
State | MI |
Zip Code | 48202-3165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
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 |
Find all providers in zip 48202 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
Find all providers in DETROIT |
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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.