MAXWELL WALLACE

ROCHESTER, NY
NPI1639676299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: NY  022525)
Enumeration Date2018-04-10
Last Update Date2018-07-19
Business Address
DR. MAXWELL WALLACE PSYD
600 PARK AVENUE CARRIAGE HOUSE
ROCHESTER, NY 14607
Phone number: 585-449-0125
Mailing Address
DR. MAXWELL WALLACE PSYD
600 PARK AVENUE CARRIAGE HOUSE
ROCHESTER, NY 14607
Phone number: 585-449-0125