Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMANDA JO WALLACE, PSY.D.
ActiveDR. AMANDA JO WALLACE, PSY.D. is a Clinical Psychologist healthcare provider located in POPLAR BLUFF, Missouri. NPI 1972908010 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · POPLAR BLUFF, MO
Registration Details
- NPI Number
- 1972908010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2014 (11.799963377286 yrs)
- Last Updated
- Oct 31, 2014
- Licenses
-
2009031094 (MO)2009031094 (MO)
Practice Information
- Address
-
1500 N WESTWOOD BLVDPOPLAR BLUFF, MO, 639013318Browse MO providers · Browse ZIP 63901
- Phone
- 5737784122
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Forensic Psychologist
Other Clinical Psychologist Providers in POPLAR BLUFF, MO
| Name | Credential | NPI |
|---|---|---|
| DR. BRIDGET HURT | PSY.D. | 1316925217 |
| DR. MARYLEE JENNINGS | PSY.D. | 1245283415 |
| DR. JOHN OWEN WOOD | PSY.D. | 1124035449 |
| DR. DONNA LYNN PARKINSON | PH.D. | 1316055965 |
| JOHN DANIEL BARBOUR | PHD | 1700970415 |
| DR. MATTHEW DOUGLAS GEYER | PSY.D. | 1386895233 |
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.