Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN HUGH G WALLACE JR., PHD
ActiveDR. JOHN HUGH G WALLACE JR., PHD is a Clinical Psychologist healthcare provider located in GROTON, Connecticut. NPI 1972585156 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GROTON, CT
Registration Details
- NPI Number
- 1972585156
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2005 (20.566807780962 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0810002367 (VA)
Practice Information
- Address
-
NAVAL AMBULATORY CARE CENTERROUTE 12, BLDG 449, ATTN: PROFESSIONAL AFFAIRSGROTON, CT, 063495600Browse CT providers · Browse ZIP 06349
- Phone
- 8606942377
- Fax
- 8606942590
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in GROTON, CT
| Name | Credential | NPI |
|---|---|---|
| DR. MAYELA LLAURADOR-CASTILLO | PH.D. | 1073561429 |
| DR. THOMAS JOSEPH MACIOLEK | PH.D. | 1821198508 |
| MR. JAMES RORY GLENNON | PSY.D. | 1326348459 |
| DR. MAXINE L VARANKO | PSY.D. | 1467726737 |
| MR. WILLIAM ANTHONY SMITHSON | PSYD | 1497004824 |
| DR. DANIELLE MONTUFAR GLEASON | PSY.D. | 1255841714 |
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.