DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WALLACE WILKINS PH.D.

MEDICARE: WALLACE WILKINS PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TA0400XAddiction (Substance Use Disorder) Psychologist1454WA
2103TB0200XCognitive & Behavioral Psychologist1454WA
3103TC0700XClinical Psychologist1454WA

General Provider Information

NPI Number : 1508936931
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALLACE WILKINS PH.D.
Provider Business Mailing Address
First Line : 620 TERRY AVE UNIT 1907
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2284
Country : US
Telephone Number : 206-284-1943
Fax Number : 206-284-1943
Provider Business Practice Location Address
First Line : 901 BOREN AVE STE 1300
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3509
Country : US
Telephone Number : 206-284-1943
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 11/17/2022

Similar Medicare Providers

1427207745 — MS. KATIE B LUNDEN LMHC, MA
Practice Location Address:
901 BOREN AVE STE 1300
SEATTLE, WA
98104-3509
Practice Phone: 206-207-4612
Practice Fax:
1306157607 — MS. LAUREL R MARSHALL MA
Practice Location Address:
901 BOREN AVE STE 1300
SEATTLE, WA
98104-3509
Practice Phone: 206-454-9362
Practice Fax:
1497035620 — JUSTIN CHU M.A.
Practice Location Address:
901 BOREN AVE STE 1300
SEATTLE, WA
98104-3509
Practice Phone: 206-681-6270
Practice Fax:
1821428160 — MS. SELIN ELIZABETH CAKA LMFTA
Practice Location Address:
901 BOREN AVE STE 1300
SEATTLE, WA
98104-3509
Practice Phone: 206-701-6801
Practice Fax:
1093191983 — DR. SHATASHA LENISE COLE EDD, LICSW
Practice Location Address:
901 BOREN AVE STE 1300
SEATTLE, WA
98104-3509
Practice Phone: 253-336-6468
Practice Fax: 844-383-1077
1376913061 — KAREN O'CONNELL LMHCA
Practice Location Address:
901 BOREN AVE STE 1300 , C/O ACCORD ASSOCIATES
SEATTLE, WA
98104-3509
Practice Phone: 206-556-2655
Practice Fax:

Directions to “ WALLACE WILKINS PH.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.