Individual provider · Type 1 NPI

Jenna E. Wallace, PSYD

Psychologist · Hurricane, WV

NPI number 1619364346 Active

Practice location

3729 Teays Valley Rd, Ste 100
Hurricane, WV 25526-9705

Fax (304) 760-6042

Mailing address

2585 3rd Ave
Huntington, WV 25703-1642

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Psychologist Primary 103T00000XNone listed

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 1619364346

Jenna E. Wallace, PSYD's National Provider Identifier is 1619364346, issued on Apr 21, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Hurricane, WV. The record was last updated on Apr 8, 2022.