Individual provider · Type 1 NPI

Myles Jamar Wallace

Health Service Psychologist · Albemarle, NC

NPI number 1255299376 Active

Practice location

1426 E Main St
Albemarle, NC 28001-5236

Mailing address

2405 Twinberry Ln
Waxhaw, NC 28173-6861

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

5 other providers at this address

About NPI 1255299376

Myles Jamar Wallace's National Provider Identifier is 1255299376, issued on Jan 15, 2026. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Albemarle, NC. The record was last updated on Jan 15, 2026.