Individual provider · Type 1 NPI

Roger A. Wallace, MA

Psychologist · Arden, NC

NPI number 1053501783 Active

Practice location

410 Mills Gap Rd.
Arden, NC 28704

Fax (828) 654-0111

Mailing address

PO Box 127
Arden, NC 28704-0127

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1179 (NC)

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…

About NPI 1053501783

Roger A. Wallace, MA's National Provider Identifier is 1053501783, issued on Jul 30, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Arden, NC. The record was last updated on Oct 16, 2008.