NPI 1427773670

Matthew Wallace, PSYD

Practitioner Clinical Neuropsychologist Winter Park, FL

Practice location

Address: 1573 W Fairbanks Ave STE 220, Winter Park, FL 32789-4679
Phone: (407) 303-7991

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X

Other Clinical Neuropsychologist providers in Florida →

Registry record

NPI: 1427773670
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2022
Record last updated: 5 Sep 2025

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.