NPI 1063523488

John F Wallace, PHD

Practitioner Clinical Psychologist Des Moines, IA

Practice location

Address: 3600 30th St, Des Moines, IA 50310-5753
Phone: (515) 699-5999

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 775 (IA)

Other Psychologist providers in Iowa →

Registry record

NPI: 1063523488
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 9 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.