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

JENNA E WALLACE, PSYD

Active Sole Proprietor

JENNA E WALLACE, PSYD is a Psychologist healthcare provider located in HURRICANE, West Virginia. NPI 1619364346 is currently active in the NPPES registry. Verify at CMS.

Psychologist · HURRICANE, WV

Registration Details

NPI Number
1619364346
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2015 (11.129429905244 yrs)
Last Updated
Apr 8, 2022
Sole Proprietor
Yes

Practice Information

Address
3729 TEAYS VALLEY RD
STE 100
HURRICANE, WV, 255269705
Browse WV providers · Browse ZIP 25526
Phone
3047606040
Fax
3047606042
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist

Other Psychologist Providers in HURRICANE, WV

Name Credential NPI
MR. BRUCE E CLAY MA 1851479885
MS. ELIZABETH A DURHAM M.A. 1831218999
MR. WILLIAM P HALL III M.A. 1235359860
KENNETH D OXLEY PSYD 1104239821
LAURA JANE BOGGESS 1568031185
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.