Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IAN JOSEPH WALLACE, PH.D.

Active

DR. IAN JOSEPH WALLACE, PH.D. is a Psychologist healthcare provider located in VALLEJO, California. NPI 1013143262 is currently active in the NPPES registry. Verify at CMS.

Psychologist · VALLEJO, CA

Registration Details

NPI Number: 1013143262
Provider Type: Individual
Gender: Male
NPI Issued: Jun 2, 2009 (17.179258606775 yrs)
Last Updated: Jul 23, 2013
License: PSY# 23646 (CA)

Practice Information

Address: 200 MARITIME ACADEMY DR

THE CALIFORNIA MARITIME ACADEMY, STUDENT HEALTH SERVICE

VALLEJO, CA, 945908181
Browse CA providers · Browse ZIP 94590
Phone: 7076541170
Fax: 7076541171
Primary Specialty: Psychologist
103T00000X

Other Psychologist Providers in VALLEJO, CA

Name	Credential	NPI
DR. LISA M NAKATA	PH.D	1306913769
DR. STEPHANIE ANN ZONE	PSY.D.	1942378716
DR. PATRICIA J DWYER	PHD	1073663936
DR. KATHRYN WETZLER	PSY.D.	1447305396
DANIELLA MARIE HALPERIN	PHD	1275733875
MRS. MARIA ORTIZ-BAKER	PSYD	1871804856

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.