Individual provider · Type 1 NPI
John Hugh G. Wallace Jr., PhD
Clinical Psychologist · Groton, CT
Practice location
Naval Ambulatory Care Center, Route 12, Bldg 449, Attn: Professional Affairs
Groton, CT 06349-5600
Fax (860) 694-2590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 0810002367 (VA) |
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…
2 other providers at this address
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About NPI 1972585156
John Hugh G. Wallace Jr., PhD's National Provider Identifier is 1972585156, issued on Nov 15, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Groton, CT. The record was last updated on Jul 13, 2026.