DR. PAMELA RENNE WALLEN PSY.D.
NPI 1326123225
Psychologist - Clinical in Farmington, MO

Q: What is Pamela Wallen's NPI number?

The NPI number for Pamela Wallen is 1326123225. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Pamela Wallen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pamela Wallen was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 26, 2006

1580 W COLUMBIA ST, FARMINGTON, MO 63640(573) 760-1365(573) 760-0354 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Pamela Renne Wallen Psy.d. NPPES

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

DR. PAMELA RENNE WALLEN PSY.D. (NPI 1326123225) is an individual clinical provider in Farmington, Missouri, licensed in Missouri (2001013763) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1326123225

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PAMELA RENNE WALLENCredential: PSY.D.

Location Address1580 W COLUMBIA STFarmington, MO 63640-3512

Mailing Address1580 W Columbia StFarmington, MO 63640-3512 · (573) 760-1365 · Fax (573) 760-0354

Phone(573) 760-1365

Fax(573) 760-0354

Sole ProprietorYes

Enumeration DateOctober 26, 2006

Last NPPES UpdateFebruary 21, 2014

✔ NPI 1326123225 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 MO · 2001013763

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.

1580 W COLUMBIA ST, Farmington, MO 63640

Open in Google Maps ↗

Other Identifiers 5

Other167106MO · Blue Cross Blue Shield

Other614085MO · Health Link

Other7994334MO · Aetna

Medicare ID-Type Unspecified000021719MO

Medicaid495281511MO

Other Providers at the Same Location NPPES 11

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

MR. SHAWN KENNETH STUTES NP-C

Nurse Practitioner (Psychiatric/Mental Health)