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Edna Wallace, LMFT

Marriage & Family Therapist · Los Altos

NPI 1922419241

Medicare standing
2 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Has dropped Medicare — you would pay privately
  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Edna Wallace’s office at (408) 296-0966 to ask if they take your plan before you enroll.

California Medical Board record

Licence G46206 · Cancelled

Licence status: Cancelled · since 1981 · Tufts University School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Professional record

NPI
1922419241
Licence
CA 46206California G46206: Cancelled
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 106H00000X (106H00000X)
Mailing address
Po Box 4465, Mountain View, CA, 94040
NPI first listed
2014-05-09
NPI last updated
2014-05-09

This is when the NPI record was last certified, not a medical board exam.