| Doctor Name: | LOUISE ANN WILL-WALLACE |
| NPI Number: | 1679511034 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1081 |
| Business Practice Address: | 21 Crawford Quarry Rd Ste 4 Falling Waters, WV - 254194695 |
| Business Phone Number: | 8034220792 |
| Business Fax Number: | |
| Mailing Address: | 21 Crawford Quarry Rd Ste 4, FALLING WATERS |
| State: | WV |
| Postal Code: | 254194695 |
| Phone Number: | 8034220792 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1081 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |