Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYLES JAMAR WALLACE
ActiveHealth Service Psychologist · ALBEMARLE, NC
Registration Details
- NPI Number
- 1255299376
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2026 (0.26377971384136 yrs)
- Last Updated
- Jan 15, 2026
Practice Information
- Address
-
1426 E MAIN STALBEMARLE, NC, 280015236Browse NC providers · Browse ZIP 28001
- Phone
- 7049820950
- Primary Specialty
-
Health Service Psychologist
103TH0100X
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.