Individual provider · Type 1 NPI
Patricia Wallace, PSYD, LMFT
Marriage & Family Therapist · Los Angeles, CA
Practice location
864 S Robertson Blvd Ste 103
Los Angeles, CA 90035-1622
Mailing address
10231 Riverside Dr Apt 306
Toluca Lake, CA 91602-2559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 113122 (CA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1215398722
Patricia Wallace, PSYD, LMFT's National Provider Identifier is 1215398722, issued on Mar 10, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 1, 2021.