TIMOTHY R WALLACE

BOSTON, MA
NPI1437149739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MA  4282)
Enumeration Date2005-10-27
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY R WALLACE PHD
125 NASHUA STREET SPAULDING REHAB HOSPITAL
BOSTON, MA 02114-1198
Phone number: 617-573-2694
Mailing Address
Dr. TIMOTHY R WALLACE PHD
PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287
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