RICK PAXTON WALLACE PH.D. NPI 1649930710

NPI Information

NPI: 1649930710
Provider Name: RICK PAXTON WALLACE, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
14405 WALTERS RD # 600C
HOUSTON, TX
ZIP 77014
Phone: (832) 666-3120
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Rick Paxton Wallace, PH.D. is a mental health counselor in Houston, TX. Rick Paxton Wallace, PH.D. NPI is 1649930710. 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:

14405 WALTERS RD # 600C
HOUSTON, TX
ZIP 77014-337
Phone: (832) 666-3120

The enumeration date for this NPI number is 12/30/2021 and was last updated on 12/30/2021.

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	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RICKWALLACE21	OTHER		VIRTUAL THERAPY

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

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