Mr Richard J Wallace, MASTER - Counselor in Berkeley, CA

Mr Richard J Wallace, MASTER is a Counselor - Mental Health based in Berkeley, California. Mr Richard J Wallace is licensed to practice in * (Not Available) (license number ) and his current practice location is 1930 Stuart St, Berkeley, California. He can be reached at his office (for appointments etc.) via phone at (650) 558-5304.

NPI number for Mr Richard J Wallace is 1326199043 and his current mailing address is 1930 Stuart St, Berkeley, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326199043.

Contact Information

Mr Richard J Wallace, MASTER
1930 Stuart St,
Berkeley, CA 94703-2215
(650) 558-5304
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Richard J Wallace
GenderMale
SpecialityCounselor - Mental Health
Location1930 Stuart St, Berkeley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326199043
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Richard J Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326199043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard J Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Richard J Wallace, MASTER
1930 Stuart St,
Berkeley, CA 94703-2215

Ph: (650) 558-5304
Mr Richard J Wallace, MASTER
1930 Stuart St,
Berkeley, CA 94703-2215

Ph: (650) 558-5304

Reviews and Comments


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