Individual provider · Type 1 NPI

Terri Northup Wall, PhD

Psychologist · Jacksonville, FL

NPI number 1275719718 Active

Practice location

13500 Sutton Park Dr S, Suite 203
Jacksonville, FL 32224-5251

Call (904) 992-9930 Map

Fax (904) 992-9937

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY 6112 (FL)

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…

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About NPI 1275719718

Terri Northup Wall, PhD's National Provider Identifier is 1275719718, issued on Jan 15, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 15, 2008.