Individual provider · Type 1 NPI

Randall Kent Wallace, PSY.D.

Clinical Psychologist · Hartford, CT

NPI number 1891049003 Active

Practice location

36 Russ St
Hartford, CT 06106-1520

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2544 (CT)

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 1891049003

Randall Kent Wallace, PSY.D.'s National Provider Identifier is 1891049003, issued on Nov 9, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Hartford, CT. The record was last updated on Nov 9, 2016.