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Contact Information

JOSEPH E WALLACH, PhD
2530 CRAWFORD AVE
SUITE 304
EVANSTON, IL60201-4970
 Phone: 773-852-2400
 Fax: 847-869-8116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOSEPH E WALLACH · (Male)

NPI # 1336453265
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/03/2010
Last updated 12/22/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071007942
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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