Suzanne Marie Wallace, M. ED Valid NPI

Individual provider · Counselor · Bridgeport, CT

NPI

1659433985

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

Sex

Female

Sole proprietor

Yes

Enumerated

2006-12-14

Last updated

2007-07-08