Individual provider · Type 1 NPI
Carly Rosemary Frances Wallace
Psychologist · Milwaukee, WI
Practice location
1919 W North Ave Ste 200
Milwaukee, WI 53205-1101
Mailing address
W236S7800 Westwood Dr
Big Bend, WI 53103-9408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 4133-57 (WI) |
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 1679483820
Carly Rosemary Frances Wallace's National Provider Identifier is 1679483820, issued on Sep 10, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 10, 2026.