Provider Information

Last Updated : Nov 22 2024 3:48 PM

Susan L Wallace




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Psychiatry
Last Name
Wallace
First Name
Susan
Middle Name
L
Address
2740 S Elm Ave
State
CA
Zip Code
93706
Phone
(559)457-5200
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
F
Title
M.D.
Physician ID
915546
Language 1
Spanish
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1255402160
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
MD42602
Email
payorcredentialing@bartonhealth.org
Board Certified
Yes
Office Language
Spanish
Self Access Flag
Self Reported Data
Panel Status
Available by referral only

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