Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUSAN O'BRIEN WALLACE, PSY. D.
ActiveMRS. SUSAN O'BRIEN WALLACE, PSY. D. is a Clinical Psychologist healthcare provider located in SAN BERNARDINO, California. NPI 1295907392 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · SAN BERNARDINO, CA
Registration Details
- NPI Number
- 1295907392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2008 (18.399284827466 yrs)
- Last Updated
- Feb 21, 2018
- License
-
PSY27744 (CA)
Practice Information
- Address
-
1454 E 2ND STSAN BERNARDINO, CA, 924080118Browse CA providers · Browse ZIP 92408
- Phone
- 9093827100
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in SAN BERNARDINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JOAN FRANCIS | PH.D. | 1366466518 |
| DR. JAMES BERNARD PACE | PHD | 1699856229 |
| MS. HEIDI D KNIPE LAIRD | PHD | 1659430577 |
| DR. EDWARD CHARLES TEYBER | — | 1447313317 |
| DR. RENE MARY KERES | PSYD | 1386783777 |
| NICK B ANDONOV | PHD | 1720127921 |
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.