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MR. MICHAEL EUGENE WALLACE MA
NPI 1003116658
Psychologist - Clinical in Ann Arbor, MI

Active since October 29, 2010
201 E LIBERTY ST, SUITE 2, ANN ARBOR, MI 48104(734) 330-3580 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Eugene Wallace Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL EUGENE WALLACE MA (NPI 1003116658) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301008847) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1003116658
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. MICHAEL EUGENE WALLACECredential: MA
Location Address201 E LIBERTY ST, SUITE 2Ann Arbor, MI 48104-2118
Mailing Address201 E. Liberty St., Suite 2Ann Arbor, MI 48104 · (734) 330-3580
Phone(734) 330-3580
Sole ProprietorYes
Enumeration DateOctober 29, 2010
✔ NPI 1003116658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301008847
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
201 E LIBERTY ST, Ann Arbor, MI 48104
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIZABETH JORDAN PH.D.
Psychologist
201 E LIBERTY ST, SUITE 15
ANN ARBOR, MI 48104
Washtenaw County (734) 662-9795
DR. ALEX S BLAIVAS MD
Psychiatry & Neurology (Psychiatry)
201 E LIBERTY ST, STE 23
ANN ARBOR, MI 48104
Washtenaw County (734) 997-9729
MR. DOUGLAS A. MCDONALD MA LLP LMSW
Social Worker (Clinical)
201 E LIBERTY ST, SUITE 2
ANN ARBOR, MI 48104
Washtenaw County (734) 846-2145
DR. PHYLLIS MARIE BONIFACE MD
Psychiatry & Neurology (Psychiatry)
201 E LIBERTY ST, SUITE #11
ANN ARBOR, MI 48104
Washtenaw County (734) 717-7702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wallace's NPI number?

The NPI number for Michael Wallace is 1003116658. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Michael Wallace located?

Michael Wallace practices at 201 E Liberty St Suite 2, Ann Arbor, MI 48104. The listed phone number is (734) 330-3580.

What is Michael Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Michael Wallace was last updated on October 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.