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Dr. Timothy R Wallace, PHD
Psychologist in Boston, Massachusetts
NPI 1437149739

Timothy R Wallace is a Psychologist based in Charlestown, MA. Timothy R Wallace practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Timothy R Wallace is 1437149739 and holds a License No. 4282 (Massachusetts).

The current practice location address for Timothy R Wallace is 125 Nashua Street, Boston, MA and can be reached out via phone at 617-573-2694 and via fax at 217-573-2229.

Location: 125 Nashua Street, Boston, MA, 02129-9142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437149739
Provider Name
Timothy R Wallace
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
125 Nashua Street, Boston, MA, 02129-9142
Phone Number
617-573-2694
Fax Number
217-573-2229
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
456014 01 MA TUFTS
W50958 01 MA BCBS MA
0395471 05 MA
institution
Provider Business Practice Location Address Details
Address
125 Nashua Street
City
Boston
State
Massachusetts
Zip
02114-1198
Phone Number
617-573-2694
Fax Number
217-573-2229
person
Provider Business Mailing Address Details
Address
125 Nashua Street
City
Boston
State
Massachusetts
Zip
02114-1198
Phone Number
617-573-2694
Fax Number
217-573-2229
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
4282 (Massachusetts)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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