Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASEY WALLACE
ActiveCASEY WALLACE is a Clinical Psychologist healthcare provider located in COMMERCE TOWNSHIP, Michigan. NPI 1619541877 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · COMMERCE TOWNSHIP, MI
Registration Details
- NPI Number
- 1619541877
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2021 (5.2213890031454 yrs)
- Last Updated
- Jan 4, 2024
- License
-
6362009880 (MI)
Practice Information
- Address
-
2045 E WEST MAPLE RD STE D405COMMERCE TOWNSHIP, MI, 483903801Browse MI providers · Browse ZIP 48390
- Phone
- 2486699500
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in COMMERCE TOWNSHIP, MI
| Name | Credential | NPI |
|---|---|---|
| AMANDA LYNN DURAND | MS, LLP | 1972632941 |
| MRS. CHRISTIN SEIDLER HOLMES | M.S. | 1033608468 |
| NICOLE ANN MILLER | PHD | 1174009484 |
| DIANA ASHAKA | LLP | 1295332773 |
| LAUREN ASHLEY DUSHANE | MA, TLLP | 1427724699 |
| AUDRA TERRELL CRAWFORD | TLLP | 1992423149 |
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.