Individual provider · Type 1 NPI

Yelda N. Wallace

Clinical Neuropsychologist · Tampa, FL

NPI number 1629651203 Active

Practice location

3825 Henderson Blvd Ste 406
Tampa, FL 33629-5022

Call (813) 291-7150 Map

Fax (855) 318-5403

Mailing address

1734 Nevada Ave NE
St. Petersburg, FL 33703-3344

Other practice locations

  • 2919 W Swann Ave Ste 201, Tampa, FL 33609-4050 · (813) 381-5200

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPY11975 (FL)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1629651203

Yelda N. Wallace's National Provider Identifier is 1629651203, issued on May 3, 2021. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Tampa, FL. The record was last updated on Mar 16, 2026.