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Contact Information

BRENDA J INGRAM WALLACE, PhD
1401 UNION STREET
READING, PA19604
 Phone: 610-921-7585
 Fax: 610-929-6697
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRENDA J INGRAM WALLACE · (Female)

NPI # 1750582946
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/29/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS006970L
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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