Individual provider · Type 1 NPI

William L. Wallace, PhD

Psychologist · Santa Monica, CA

NPI number 1366597635 Active

Practice location

1448 15th St, Suite 203
Santa Monica, CA 90404-2756

Fax (310) 451-9665

Specialties and licenses

Taxonomy	Code	License
Psychologist Primary	103T00000X	PSY6312 (CA)

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 1366597635

William L. Wallace, PhD's National Provider Identifier is 1366597635, issued on Jan 24, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 8, 2007.