Dedra Wallace
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2014
- Practice address
- 41 Montebello Rd, Pueblo, CO 81001
- Practice phone
- Call (719) 545-2746
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Health Solutions Main
Pueblo, Colorado
Find Dedra Wallace's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dedra Wallace is a professional counselor in Pueblo, Colorado
Dedra Wallace practices at Health Solutions Main in Pueblo, Colorado.
Dedra Wallace's NPI, 1063810877, was assigned on December 10, 2014. Dedra Wallace holds Colorado license LPC.0013214.
- NPI
- 1063810877NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4486005345
- NPI enumeration date
- December 10, 2014
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (719) 545-2746
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 38
- Medical school graduation
- 2014
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dedra Wallace practices at Health Solutions Main in Pueblo, Colorado
Dedra Wallace's primary practice is Health Solutions Main, at 41 Montebello Rd, Pueblo, CO 81001 in Pueblo County. The practice phone is (719) 545-2746.
- Health Solutions Main41 Montebello Rd, Pueblo, CO 81001 · Pueblo CountyPhone(719) 545-2746
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dedra Wallace is affiliated with 1 site of care and 1 medical group
Dedra Wallace's primary practice is Health Solutions Main in Pueblo, Colorado. The medical group on file is Health Solutions.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dedra Wallace's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dedra Wallace practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Health Solutions Main | Available with a free account |
Source: Dmand AI Technology Install Data
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Dedra Wallace is one of 2,413 professional counselors in Colorado
Professional is Dedra Wallace's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Dedra Wallace is licensed in Colorado.
Specialties and state licenses
- Professional counselor, ColoradoPrimary
Professional counselors near Dedra Wallace
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dedra Wallace's patients have a median age of 60
Across all payers, Dmand AI patient panel data puts Dedra Wallace's median patient age at 60, with 40% women.
Dedra Wallace's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 60
Patient panel by sex, all payers
- Women40%
- Men60%
Source: Dmand AI Patient Panel Data
How Dedra Wallace takes part in Medicare
Dedra Wallace accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Dedra Wallace's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dedra Wallace
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dedra Wallace's NPI number?
Dedra Wallace's NPI number is 1063810877. It was assigned on December 10, 2014, and it is active in the NPI Registry.
What does Dedra Wallace specialize in?
Dedra Wallace is a professional counselor in Pueblo, Colorado. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Dedra Wallace practice?
Dedra Wallace practices at 41 Montebello Rd, Pueblo, CO 81001. Dedra Wallace's primary practice is Health Solutions Main in Pueblo, Colorado.
What is Dedra Wallace's office phone number?
The practice phone on file for Dedra Wallace is (719) 545-2746.
What is Dedra Wallace's medical license number?
Dedra Wallace holds Colorado license LPC.0013214.
What medical group is Dedra Wallace part of?
Dedra Wallace is linked to Health Solutions.
Does Dedra Wallace accept Medicare?
Yes. CMS lists Dedra Wallace as accepting Medicare assignment.
How long has Dedra Wallace been practicing?
Dedra Wallace graduated from medical school in 2014, 12 years ago.
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