Individual provider · Type 1 NPI

Patty A. Wallace

Mental Health Clinic/Center (Including Community Mental Health Center) · Paducah, KY

NPI number 1861703498 Active

Practice location

425 Broadway St
Paducah, KY 42001-0713

Call (270) 442-7121 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1861703498

Patty A. Wallace's National Provider Identifier is 1861703498, issued on Jun 29, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Paducah, KY. The record was last updated on Jun 29, 2010.