NPI 1003117284 MS. MELANY A WALLACE LONG BEACH CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Ms. Melany A Wallace - NPI: 1003117284

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MS. MELANY A WALLACE
NPI Number: 1003117284
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: RI-W1009040752
Business Practice Address: 1601 E 10th St
Long Beach, CA - 908135035
Business Phone Number: 5622183639
Business Fax Number:
Mailing Address: 1601 E 10th St,
LONG BEACH
State: CA
Postal Code: 908135035
Phone Number: 5622183639
Fax Number:
NPI Enumeration Date: 11/04/2010
NPI Last Update Date: 11/04/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: RI-W1009040752
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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