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THERESA WALLIS
NPI 1639509862
Psychologist - Rehabilitation in Shawnee, OK

Active since November 25, 2013
201 N BROADWAY AVE, SHAWNEE, OK 74801(580) 748-0342(405) 386-3213 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Wallis NPPES

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

THERESA WALLIS (NPI 1639509862) is an individual rehabilitation provider in Shawnee, Oklahoma and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1639509862
Entity TypeIndividualFemale
Primary Taxonomy103TR0400X
Provider Legal NameTHERESA WALLIS
Location Address201 N BROADWAY AVEShawnee, OK 74801-6917
Mailing Address10800 EastwayMcloud, OK 74851-8566 · (580) 748-0342 · Fax (405) 386-3213
Phone(580) 748-0342
Fax(405) 386-3213
Sole ProprietorYes
Enumeration DateNovember 25, 2013
✔ NPI 1639509862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers
Taxonomy Code103TR0400X
Definition
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
201 N BROADWAY AVE, Shawnee, OK 74801
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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 Theresa Wallis's NPI number?

The NPI number for Theresa Wallis is 1639509862. It was assigned to this individual provider in the NPPES registry on November 25, 2013.

Where is Theresa Wallis located?

Theresa Wallis practices at 201 N Broadway Ave, Shawnee, OK 74801. The listed phone number is (580) 748-0342.

What is Theresa Wallis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

When was this NPI record last updated?

The NPPES record for Theresa Wallis was last updated on November 25, 2013. 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.