Doctor Name: | DEBORAH I WALLACE |
NPI Number: | 1184654709 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 39992 |
Business Practice Address: | 3840 Ruckriegel Pkwy Suite 105 Louisville, KY - 402996835 |
Business Phone Number: | 5022617227 |
Business Fax Number: | 5022616157 |
Mailing Address: | 3840 Ruckriegel Pkwy, Suite 105 LOUISVILLE |
State: | KY |
Postal Code: | 402996835 |
Phone Number: | 5022617227 |
Fax Number: | 5022616157 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 10/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 39992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |