Individual provider · Type 1 NPI

Susan O'Brien Wallace, PSY. D.

Clinical Psychologist · San Bernardino, CA

NPI number 1295907392 Active

Practice location

1454 E 2nd St
San Bernardino, CA 92408-0118

Call (909) 382-7100 Map

Mailing address

530 S Lake Ave # 565
Pasadena, CA 91101-3515

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Psychologist Primary	103TC0700X	PSY27744 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1295907392

Susan O'Brien Wallace, PSY. D.'s National Provider Identifier is 1295907392, issued on Mar 28, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Bernardino, CA. The record was last updated on Feb 21, 2018.