DR. CHRISTINA WALLACE (NPI# 1932694858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932694858 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA WALLACE |
| Credential | PSYD |
| Practice Address |
300 S Walnut Ln Ste 201 Beaver PA 15009-1737 |
| Practice Telephone | 4129748550 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783848 | Christina N Wallace | Massage Therapist | 308 Oak Street, Penngrove, CA 94951 | 2020-09-04 |
| 1609409549 | Christina Wallace | Nurse Practitioner | 2302 Cambridge Ct N, League City, TX 77573-5004 | 2020-02-19 |
| 1487097937 | Christina Erin Wallace | Acupuncturist | 132 Chatsworth Ave Apt 3a, Larchmont, NY 10538 | 2013-04-15 |
| 1760944284 | Christina Blair Wallace | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2019-04-03 |
| 1548759871 | Christina Wallace | Psychologist | 401 Mcintire Rd Rm 323, Charlottesville, VA 22902-4579 | 2018-05-02 |
| 1053846154 | Christina Wallace | Nurse Practitioner | 262 N Danny Thomas Blvd, Memphis, TN 38105-2822 | 2017-04-26 |
| 1568911675 | Christina Ann Wallace | Nurse Practitioner | 1144 Dublin Rd, Columbus, OH 43215-1039 | 2016-09-30 |
| 1861811671 | Christina Wallace | Physical Therapist | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2014-04-09 |
| 1689954653 | Christina K Wallace | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2011-08-23 |
| 1861708679 | Christina Marie Wallace | Pharmacist | 2829 N Lombard St, Portland, OR 97217-6263 | 2010-08-31 |
| Street Address |
300 S WALNUT LN STE 201 |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518567 | Carol B Luce | Psychologist | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2005-09-13 |
| 1285269332 | Jenny Unger | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2020-03-10 |
| 1245877042 | Lorrie Bollard | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2019-11-30 |
| 1346709748 | Jesse Martin | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2019-03-15 |
| 1902068141 | Geraldine Louise Desena | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2008-06-30 |
| 1851356778 | Edward Joseph Currie | Psychologist | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134763972 | Jennifer Lee Pfeuffer | Psychologist | 246 Friendship Cir, Beaver, PA 15009-9704 | 2019-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368260 | Marilia Marien | Psychologist | 713 Buck Ln, Haverford, PA 19041-1201 | 2020-08-31 |
| 1952914897 | Integrated Psychotherapy & Assessment Practice of Pennsylvania | Psychologist | 405 S 62nd St, Philadelphia, PA 19143-1031 | 2020-08-29 |
| 1891308706 | Yuhong He | Psychologist | 34 Overlook Cir, Garnet Valley, PA 19060-2248 | 2020-08-28 |
| 1205449873 | Yacob T Tekie | Psychologist | 3637 Chestnut St, Philadelphia, PA 19104-2612 | 2020-08-24 |
| 1891315750 | Anne Patricia Myers | Psychologist | 605 W Street Rd, Warminster, PA 18974-3214 | 2020-04-21 |
| 1326673120 | Life Line Community Ministries LLC | Psychologist | 9398 Birch Ln, Tobyhanna, PA 18466-3846 | 2020-03-12 |
| 1669005203 | North Shore Counseling Services | Psychologist | 901 Western Ave Ste 202, Pittsburgh, PA 15233-1719 | 2020-02-21 |
| 1184274946 | St. Luke's Hospital | Psychologist | 512 Bank Street, Bowmanstown, PA 18030 | 2019-09-13 |
| 1780241661 | Gregory Tucker | Psychologist | 780 E Market St Ste 220&230, West Chester, PA 19382-4882 | 2019-05-25 |
| 1023674199 | Kara Mcquaid | Psychologist | 555 Second Ave Ste B-300, Collegeville, PA 19426-3636 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
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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.