Individual provider · Type 1 NPI

Tiffany Lynn Wallace, MS LLP

Psychologist · Westland, MI

NPI number 1760586176 Active

Practice location

8623 N Wayne Road, Hegira Programs Inc Ste 310
Westland, MI 48185

Fax (734) 425-4771

Mailing address

11326 Fordline
Allen Park, MI 48101

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301012514 (MI)

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 1760586176

Tiffany Lynn Wallace, MS LLP's National Provider Identifier is 1760586176, issued on Sep 8, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Westland, MI. The record was last updated on Jul 8, 2007.