SUSAN O'BRIEN WALLACE

SAN BERNARDINO, CA
NPI1295907392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY27744)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2008-03-28
Last Update Date2018-02-21
Business Address
Mrs. SUSAN O'BRIEN WALLACE Psy. D.
1454 E 2ND ST
SAN BERNARDINO, CA 92408-0118
Phone number: 909-382-7100
Mailing Address
Mrs. SUSAN O'BRIEN WALLACE Psy. D.
530 S LAKE AVE # 565
PASADENA, CA 91101-3515
Phone number: 619-665-7781