JENNIFER WALLACE
NPI 1295083897
Psychologist in West Bloomfield, MI
About Jennifer Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER WALLACE (NPI 1295083897) is an individual psychologist in West Bloomfield, Michigan, licensed in Michigan (6301014813) and active in the NPI registry since August 2012.
NPPES Registry Identity
Specialties & Licenses
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 Jennifer Wallace's NPI number?
The NPI number for Jennifer Wallace is 1295083897. It was assigned to this individual provider in the NPPES registry on August 29, 2012.
Where is Jennifer Wallace located?
Jennifer Wallace practices at 4226 Green Lake Rd, West Bloomfield, MI 48323. The listed phone number is (248) 404-5616.
What is Jennifer Wallace's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Jennifer Wallace was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.