Individual provider · Type 1 NPI
Matthew Wallace
Psychologist · Folsom, CA
Practice location
525 Willard Dr Apt 1634
Folsom, CA 95630-4073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 33214 (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 1639811136
Matthew Wallace's National Provider Identifier is 1639811136, issued on Apr 13, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Folsom, CA. The record was last updated on Apr 13, 2022.