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

DR. AMANDA JO WALLACE, PSY.D.

Active

DR. 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 BLVD
POPLAR BLUFF, MO, 639013318
Browse 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.