Individual provider · Type 1 NPI
Jennifer Wallace
Psychologist · West Bloomfield, MI
Practice location
4226 Green Lake Rd
West Bloomfield, MI 48323-1139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 6301014813 (MI) |
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 1295083897
Jennifer Wallace's National Provider Identifier is 1295083897, issued on Aug 29, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in West Bloomfield, MI. The record was last updated on Aug 29, 2012.