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Dr. Pamela Renne Wallen, PSYD
Clinical Psychologist in Farmington, Missouri
NPI 1326123225

Pamela Renne Wallen is a Clinical Psychologist based in Farmington, MO and is specialized in Clinical. Pamela Renne Wallen practices in Farmington, MO and has the professional credentials of PSYD. The NPI Number for Pamela Renne Wallen is 1326123225 and holds a License No. 2001013763 (Missouri).

The current practice location address for Pamela Renne Wallen is 1580 W Columbia St, Farmington, MO and can be reached out via phone at 573-760-1365 and via fax at 573-760-0354. You can also correspond with Pamela Renne Wallen through the mailing address at 1580 W COLUMBIA ST, FARMINGTON, MO - 63640-3512 (mailing address contact number: 573-760-1365).

Location: 1580 W Columbia St, Farmington, MO, 63640-3512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326123225
Provider Name
Pamela Renne Wallen
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1580 W Columbia St, Farmington, MO, 63640-3512
Phone Number
573-760-1365
Fax Number
573-760-0354
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
167106 01 MO BLUE CROSS BLUE SHIELD
495281511 05 MO
7994334 01 MO AETNA
614085 01 MO HEALTH LINK
institution
Provider Business Practice Location Address Details
Address
1580 W Columbia St
City
Farmington
State
Missouri
Zip
63640-3512
Phone Number
573-760-1365
Fax Number
573-760-0354
person
Provider Business Mailing Address Details
Address
1580 W Columbia St
City
Farmington
State
Missouri
Zip
63640-3512
Phone Number
573-760-1365
Fax Number
573-760-0354
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
2001013763 (Missouri)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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