Individual provider · Type 1 NPI
Lee Travis Wallace, PhD
Clinical Psychologist · Austin, TX
Practice location
13740 Hwy 183, #R-3
Austin, TX 78750
Fax (512) 918-2325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 22772 (TX) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1649286949
Lee Travis Wallace, PhD's National Provider Identifier is 1649286949, issued on Jul 31, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.