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Dr. Maxwell Wallace, PSYD
Clinical Psychologist in Rochester, New York
NPI 1639676299

Maxwell Wallace is a Clinical Psychologist based in Rochester, NY and is specialized in Clinical. Maxwell Wallace practices in Rochester, NY and has the professional credentials of PSYD. The NPI Number for Maxwell Wallace is 1639676299 and holds a License No. 022525 (New York).

The current practice location address for Maxwell Wallace is 600 Park Avenue, Rochester, NY and can be reached out via phone at 585-449-0125.

Location: 600 Park Avenue, Rochester, NY, 14607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639676299
Provider Name
Maxwell Wallace
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
600 Park Avenue, Rochester, NY, 14607
Phone Number
585-449-0125
Fax Number
Provider Enumeration Date
04/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6147215 01 NY AETNA
institution
Provider Business Practice Location Address Details
Address
600 Park Avenue
City
Rochester
State
New York
Zip
14607
Phone Number
585-449-0125
Fax Number
person
Provider Business Mailing Address Details
Address
600 Park Avenue
City
Rochester
State
New York
Zip
14607
Phone Number
585-449-0125
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
022525 (New York)
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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