Dr. Lauren C Wallace, PHD
Psychologist, Clinical in Riverside, Rhode Island
1265117543- Practice location
- 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
- Phone
- 401-432-1000
- Fax
- 401-432-1500
- Last updated
- November 4, 2026
Lauren Catherine Wallace is a Psychologist, Clinical based in Riverside, RI. Lauren Catherine Wallace practices in Riverside, RI and has the professional credentials of PHD. The NPI Number for Lauren Catherine Wallace is 1265117543 and holds a License No. PS02477 (RI). The current practice location address for Lauren Catherine Wallace is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 and can be reached out via phone at 401-432-1000 and via fax at 401-432-1500.
Provider Profile Details
- NPI Number
- 1265117543
- Provider Name
- Lauren Catherine Wallace
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
- Phone Number
- 401-432-1000
- Fax Number
- 401-432-1500
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 15, 2023
- Last Update Date
- November 4, 2026
- Certification Date
- November 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061 - City
- Riverside
- State
- Rhode Island
- Zip
- 02915-5061
- Phone Number
- 401-432-1000
- Fax Number
- 401-432-1500
Provider Business Mailing Address Details
- Address
- 15 Lasalle Square
Providence, RI 02903 - City
- Providence
- State
- RI
- Zip
- 02903
- Phone Number
- 401-444-6779
- Fax Number
- 401-444-6912
License Information
- License Number (1)
- PS02477
- License State (1)
- RI
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (2)
- 35SI00801300
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
- License Number (3)
- 027983
- License State (3)
- NY
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Lauren C Wallace, PHD?
The NPI number of Dr. Lauren C Wallace, PHD is 1265117543. It was assigned on June 15, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Lauren C Wallace, PHD?
Dr. Lauren C Wallace, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS02477.
Where does Dr. Lauren C Wallace, PHD practice?
The practice location is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061. The office can be reached at 401-432-1000 (phone) or 401-432-1500 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265117543 directly on the NPPES registry website.