MRS. PATRICIA IRENE WALLACE LPC,LADC
NPI 1043336704
Counselor - Mental Health in Hugo, OK

Q: What is Patricia Wallace's NPI number?

The NPI number for Patricia Wallace is 1043336704. It was assigned to this individual provider in the NPPES registry on March 22, 2007. The provider is also known as Ms. Patricia Irene Rudrow Lpc.

Q: What is Patricia Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2007

104 N 4TH ST, HUGO, OK 74743(580) 326-7531(580) 326-2377 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Patricia Irene Wallace Lpc,ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PATRICIA IRENE WALLACE LPC,LADC (NPI 1043336704) is an individual mental health provider in Hugo, Oklahoma, licensed in Oklahoma (3190) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1043336704

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. PATRICIA IRENE WALLACECredential: LPC,LADC

Location Address104 N 4TH STHugo, OK 74743-4003

Mailing Address104 N 4th StHugo, OK 74743-4003 · (580) 326-7531 · Fax (580) 326-2377

Phone(580) 326-7531

Fax(580) 326-2377

Sole ProprietorYes

Enumeration DateMarch 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043336704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OK · 3190

104 N 4TH ST, Hugo, OK 74743

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Other Names 1

Former Name (1)Ms. Patricia Irene Rudrow Lpc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GEORGE WAYNE DURRENCE MBS, LBP

Counselor (Mental Health)

104 N 4TH ST
HUGO, OK 74743

Choctaw County (580) 326-9289

MARIE LINDSAY PARDUE BSN, RN

Registered Nurse (Psychiatric/Mental Health)

104 N 4TH ST
HUGO, OK 74743

Choctaw County (580) 326-7531

MARY JANE NOLAND BA, BHRS, CBHCM-DC

Counselor (Mental Health)

104 N 4TH ST
HUGO, OK 74743

Choctaw County (580) 326-7531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Wallace's NPI number?

The NPI number for Patricia Wallace is 1043336704. It was assigned to this individual provider in the NPPES registry on March 22, 2007. The provider is also known as Ms. Patricia Irene Rudrow Lpc.

Where is Patricia Wallace located?

Patricia Wallace practices at 104 N 4th St, Hugo, OK 74743. The listed phone number is (580) 326-7531.

What is Patricia Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Patricia Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.