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Dr. Lee Travis Wallace, PHD
Clinical Psychologist in Austin, Texas
NPI 1649286949

Lee Travis Wallace is a Clinical Psychologist based in Austin, TX and is specialized in Clinical. Lee Travis Wallace practices in Austin, TX and has the professional credentials of PHD. The NPI Number for Lee Travis Wallace is 1649286949 and holds a License No. 22772 (Texas).

The current practice location address for Lee Travis Wallace is 13740 Hwy 183, Austin, TX and can be reached out via phone at 512-331-1415 and via fax at 512-918-2325.

Location: 13740 Hwy 183, Austin, TX, 78750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649286949
Provider Name
Lee Travis Wallace
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
13740 Hwy 183, Austin, TX, 78750
Phone Number
512-331-1415
Fax Number
512-918-2325
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A75L 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
13740 Hwy 183
City
Austin
State
Texas
Zip
78750
Phone Number
512-331-1415
Fax Number
512-918-2325
person
Provider Business Mailing Address Details
Address
13740 Hwy 183
City
Austin
State
Texas
Zip
78750
Phone Number
512-331-1415
Fax Number
512-918-2325
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
22772 (Texas)
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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