GREGORY ROY WALLACE MSW NPI 1073902250

NPI Information

NPI: 1073902250
Provider Name: GREGORY ROY WALLACE, MSW
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
14545 SHERMAN CIR
VAN NUYS, CA
ZIP 91405
Phone: (818) 374-6901
Get Directions

Gregory Roy Wallace, MSW is a rehabilitation practitioner in Van Nuys, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Gregory Roy Wallace, MSW NPI is 1073902250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14545 SHERMAN CIR
VAN NUYS, CA
ZIP 91405-087
Phone: (818) 374-6901

The enumeration date for this NPI number is 1/12/2015 and was last updated on 1/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »