Individual provider · Type 1 NPI
Ian Joseph Wallace, PhD
Psychologist · Vallejo, CA
Practice location
200 Maritime Academy Dr, The California Maritime Academy, Student Health Service
Vallejo, CA 94590-8181
Fax (707) 654-1171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY# 23646 (CA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
3 other providers at this address
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About NPI 1013143262
Ian Joseph Wallace, PhD's National Provider Identifier is 1013143262, issued on Jun 2, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Vallejo, CA. The record was last updated on Jul 23, 2013.