Individual
BRITTNEY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., ABPP
Contact information
Practice address
MLG PSYCH, CAMP LEJEUNE, NC 28547
(109) 451-6628
Mailing address
MLG PSYCH, BLDG 327, CAMP LEJEUNE, NC 28547
(109) 451-6628
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0810006150
VA
Other
Enumeration date
09/21/2016
Last updated
05/04/2023
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