What is Traci Wallace's NPI number?

Traci Wallace's National Provider Identifier (NPI) is 1881630093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Traci Wallace's specialty?

Traci Wallace is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Traci Wallace located?

Traci Wallace's practice location on file with NPPES is 10811 Washington Blvd., Culver City, CA 90066.

What is Traci Wallace's phone number?

The practice phone number listed in the NPPES registry for Traci Wallace is (310) 939-4297.

Is Traci Wallace's NPI active?

Yes — Traci Wallace's NPI (1881630093) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Traci Wallace, PH.D.

NPI 1881630093 · Psychologist · Culver City, CA

Traci Wallace, PH.D. is a Psychologist provider in Culver City, CA (NPI 1881630093).

Provider details

NPI number: 1881630093
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Female
Sole proprietor: No
License: PSY14644 (CA)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense PSY14644 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

10811 Washington Blvd.

Suite 280

Culver City, CA 90066

Phone: (310) 939-4297

Fax: (310) 745-2891

Street-level locationGet directions

More CA providers

Mailing address