Walter (rusty) Wallace Otto PHD

  • NPI 1649682469
According to our database, the NPI number for Walter (rusty) Wallace Otto PHD is 1649682469 and activated since 9 years ago. Walter (rusty) Wallace Otto PHD is an individual provider who specializes in Psychologist, and the primary practice location is 1970 University Park Drive, Sacramento, CA 95825. You can also contact Walter (rusty) Wallace Otto PHD via telephone number is (916) 804-5087. Provider NPI information was last updated on 05/28/2014.

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Overview of Walter (rusty) Wallace Otto PHD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/28/2014
  • Last updated: 05/28/2014

Primary Scrop of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: PSY12396
  • License State: CA

Provider Mailing Address

  • Address: 1970 University Park Drive
    Sacramento, CA 95825
  • Phone: 916-804-5087
  • Fax:

Provider Practice Location

  • Address: 1970 University Park Drive
    Sacramento, CA 95825
  • Phone: 916-804-5087
  • Fax:

Scope of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: PSY12396
  • License State: CA
  • 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 Walter (rusty) Wallace Otto PHD?
  • A: The npi number for Walter (rusty) Wallace Otto PHD is 1649682469.
  • Q: What are Walter (rusty) Wallace Otto PHD's specialties?
  • A: Walter (rusty) Wallace Otto PHD's specialties are Psychologist and different specialities.
  • Q: What is the medical license for Walter (rusty) Wallace Otto PHD?
  • A: The medical license number for Walter (rusty) Wallace Otto PHD is PSY12396 and issued in CA in USA.
  • Q: Where is Walter (rusty) Wallace Otto PHD practice location?
  • A: Walter (rusty) Wallace Otto PHD is practicing at 1970 University Park Drive, Sacramento, CA 95825.
  • Q: How to contact Walter (rusty) Wallace Otto PHD?
  • A: You can contact Walter (rusty) Wallace Otto PHD via 916-804-5087.