MR. Darrell Dewayne Wallace JR. LGPC

  • NPI 1265086367
According to our database, the NPI number for MR. Darrell Dewayne Wallace JR. LGPC is 1265086367 and activated since 4 years ago. MR. Darrell Dewayne Wallace JR. LGPC is an individual provider who specializes in Mental Health, and the primary practice location is 107 E 25th St, Baltimore, MD 21218. You can also contact MR. Darrell Dewayne Wallace JR. LGPC via telephone number is (410) 558-0019. Provider NPI information was last updated on 07/26/2019.

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Overview of MR. Darrell Dewayne Wallace JR. LGPC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/26/2019
  • Last updated: 07/26/2019

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: LGP9687
  • License State: MD

Provider Mailing Address

  • Address: 553 Marc Rd # A
    Millersville, MD 21108
  • Phone: 443-694-7554
  • Fax:

Provider Practice Location

  • Address: 107 E 25th St
    Baltimore, MD 21218
  • Phone: 410-558-0019
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: LGP9687
  • License State: MD
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Darrell Dewayne Wallace JR. LGPC?
  • A: The npi number for MR. Darrell Dewayne Wallace JR. LGPC is 1265086367.
  • Q: What are MR. Darrell Dewayne Wallace JR. LGPC's specialties?
  • A: MR. Darrell Dewayne Wallace JR. LGPC's specialties are Mental Health and different specialities.
  • Q: What is the medical license for MR. Darrell Dewayne Wallace JR. LGPC?
  • A: The medical license number for MR. Darrell Dewayne Wallace JR. LGPC is LGP9687 and issued in MD in USA.
  • Q: Where is MR. Darrell Dewayne Wallace JR. LGPC practice location?
  • A: MR. Darrell Dewayne Wallace JR. LGPC is practicing at 107 E 25th St, Baltimore, MD 21218.
  • Q: How to contact MR. Darrell Dewayne Wallace JR. LGPC?
  • A: You can contact MR. Darrell Dewayne Wallace JR. LGPC via 410-558-0019.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Sports Medicine
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