Individual provider · Type 1 NPI

Tara Banks Wallace, PSY.D.

Clinical Child & Adolescent Psychologist · Fairfax, VA

NPI number 1457644585 Active

Practice location

8626 Lee Hwy Ste 200
Fairfax, VA 22031-2135

Mailing address

12043 Elliots Oak Pl
Bristow, VA 20136-1265

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist Primary 103TC2200X0810004361 (VA)

Clinical Child & Adolescent Psychologist: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, …

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About NPI 1457644585

Tara Banks Wallace, PSY.D.'s National Provider Identifier is 1457644585, issued on May 23, 2011. The primary taxonomy on file is Clinical Child & Adolescent Psychologist (103TC2200X), and the practice location is in Fairfax, VA. The record was last updated on May 23, 2011.