Wanda D Wallace (NPI# 1043866411, PAC ID# 6103157110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1043866411 |
| PAC ID by PECOS | 6103157110 |
| Professional Enrollment ID | I20191004002600 |
| Full Name | Wanda D Wallace |
| Organization Legal Name | STONE RIDGE COUNSELING CENTER INC |
| Address |
9013 University Pkwy C Pensacola FL 32514-9421 |
| Phone Number | 8504787800 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0840356127 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9013 University Pkwy C, Pensacola, FL 32514-9421 | 8504787800 | STONE RIDGE COUNSELING CENTER INC |
| Organization Legal Name | STONE RIDGE COUNSELING CENTER INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet S Davis | Clinical Social Worker | Stone Ridge Counseling Center Inc | 9013 University Pkwy C, Pensacola, FL 32514-9421 |
| Street Address |
9013 UNIVERSITY PKWY C |
| City | PENSACOLA |
| State | FL |
| Zip | 32514-9421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet S Davis | Clinical Social Worker | Stone Ridge Counseling Center Inc | 9013 University Pkwy C, Pensacola, FL 32514-9421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Brian Comitalo | General Surgery | West Florida Specialty Physicians LLC | 8333 N Davis Hwy, 5th Floor, Pensacola, FL 32514 |
| Suzanne Marie Day | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Susan J Summerton | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Brandi C Slapkunas | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Clyde D Reynolds | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Rodney W Schulze | Chiropractic | 965 E Nine Mile Rd, Pensacola, FL 32514-1648 | |
| Vicki P Merold | Nurse Practitioner | West Florida Cardiology Physicians LLC | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Jose Antonio Guitian | Cardiovascular Disease (cardiology) | West Florida Cardiology Physicians LLC | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Edward Anthony Schuka | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Serda C Hawthorne | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Find all physicians in zip 32514 | |||
| City | PENSACOLA |
| Zip Code | 32514 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PENSACOLA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Wanda D Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.