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TARA BANKS WALLACE PSY.D.
NPI 1457644585
Psychologist - Clinical Child & Adolescent in Fairfax, VA

Active since May 23, 2011
8626 LEE HWY STE 200, FAIRFAX, VA 22031(571) 393-0075 Get Directions Write a Review

NPPES record last updated: May 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Banks Wallace Psy.d. NPPES

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

TARA BANKS WALLACE PSY.D. (NPI 1457644585) is an individual clinical child & adolescent provider in Fairfax, Virginia, licensed in Virginia (0810004361) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1457644585
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameTARA BANKS WALLACECredential: PSY.D.
Location Address8626 LEE HWY STE 200Fairfax, VA 22031-2135
Mailing Address12043 Elliots Oak PlBristow, VA 20136-1265
Phone(571) 393-0075
Sole ProprietorYes
Enumeration DateMay 23, 2011
✔ NPI 1457644585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in VA · 0810004361
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
8626 LEE HWY STE 200, Fairfax, VA 22031
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Other Providers at the Same Location NPPES 7

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

JENNIFER CATHERINE HANNETT
Social Worker (Clinical)
8626 LEE HWY STE 200
FAIRFAX, VA 22031
Fairfax County (703) 205-0490
DR. HANNAH MOSS PHD
Counselor
8626 LEE HWY STE 200
FAIRFAX, VA 22031
Fairfax County (703) 560-2600
GIL INSTITUTE FOR TRAUMA RECOVERY AND EDUCATION, LLC
Social Worker (Clinical)
8626 LEE HWY STE 200
FAIRFAX, VA 22031
Fairfax County (703) 560-2600
COURTNEY GLICKMAN MA, LPC
Counselor (Mental Health)
8626 LEE HWY STE 200
FAIRFAX, VA 22031
Fairfax County (703) 560-2600
COURTNEY JENKINS LCSW
Social Worker (Clinical)
8626 LEE HWY STE 200
FAIRFAX, VA 22031
Fairfax County (703) 560-2600
REBECCA LYN GILLAM, MS, LPC, ATR-BC LPC, ATR-BC
Counselor (Professional)
8626 LEE HWY STE 200
FAIRFAX, VA 22031
Fairfax County (571) 354-0416
ELIZABETH CHITALE LMFT
Marriage & Family Therapist
8626 LEE HWY STE 200
FAIRFAX, VA 22031
Fairfax County (703) 560-2600

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 Tara Wallace's NPI number?

The NPI number for Tara Wallace is 1457644585. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Tara Wallace located?

Tara Wallace practices at 8626 Lee Hwy Ste 200, Fairfax, VA 22031. The listed phone number is (571) 393-0075.

What is Tara Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Tara Wallace was last updated on May 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.