Tyshaundra Renee Wallace M.ED, LCASA, QP

  • NPI 1669937595
According to our database, the NPI number for Tyshaundra Renee Wallace M.ED, LCASA, QP is 1669937595 and activated since 5 years ago. Tyshaundra Renee Wallace M.ED, LCASA, QP is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1001 Phillips Ave, High Point, NC 27262. You can also contact Tyshaundra Renee Wallace M.ED, LCASA, QP via telephone number is (336) 854-2560. Provider NPI information was last updated on 02/05/2019.

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Overview of Tyshaundra Renee Wallace M.ED, LCASA, QP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/05/2019
  • Last updated: 02/05/2019

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: LCAS-25036
  • License State: NC

Provider Mailing Address

  • Address: 438 Drum Rd Apt 8
    Reidsville, NC 27320
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1001 Phillips Ave
    High Point, NC 27262
  • Phone: 336-854-2560
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: LCAS-25036
  • License State: NC
  • 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 Tyshaundra Renee Wallace M.ED, LCASA, QP?
  • A: The npi number for Tyshaundra Renee Wallace M.ED, LCASA, QP is 1669937595.
  • Q: What are Tyshaundra Renee Wallace M.ED, LCASA, QP's specialties?
  • A: Tyshaundra Renee Wallace M.ED, LCASA, QP's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Tyshaundra Renee Wallace M.ED, LCASA, QP?
  • A: The medical license number for Tyshaundra Renee Wallace M.ED, LCASA, QP is LCAS-25036 and issued in NC in USA.
  • Q: Where is Tyshaundra Renee Wallace M.ED, LCASA, QP practice location?
  • A: Tyshaundra Renee Wallace M.ED, LCASA, QP is practicing at 1001 Phillips Ave, High Point, NC 27262.
  • Q: How to contact Tyshaundra Renee Wallace M.ED, LCASA, QP?
  • A: You can contact Tyshaundra Renee Wallace M.ED, LCASA, QP via 336-854-2560.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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