DR. TRACI L. WALLACE PH.D.
NPI 1881630093
Psychologist in Culver City, CA
About Dr. Traci L. Wallace Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TRACI L. WALLACE PH.D. (NPI 1881630093) is an individual psychologist in Culver City, California, licensed in California (PSY14644) and active in the NPI registry since June 2006.
NPPES Registry Identity
Specialties & Licenses
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 Traci Wallace's NPI number?
The NPI number for Traci Wallace is 1881630093. It was assigned to this individual provider in the NPPES registry on June 22, 2006.
Where is Traci Wallace located?
Traci Wallace practices at 10811 Washington Blvd. Suite 280, Culver City, CA 90066. The listed phone number is (310) 939-4297.
What is Traci Wallace's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Traci 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.