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Dr. Traci L. Wallace, PHD
Psychologist in Culver City, California
NPI 1881630093

Traci L. Wallace is a Psychologist based in Culver City, CA. Traci L. Wallace practices in Culver City, CA and has the professional credentials of PHD. The NPI Number for Traci L. Wallace is 1881630093 and holds a License No. PSY14644 (California).

The current practice location address for Traci L. Wallace is 10811 Washington Blvd., Culver City, CA and can be reached out via phone at 310-939-4297 and via fax at 310-745-2891.

Location: 10811 Washington Blvd., Culver City, CA, 90066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881630093
Provider Name
Traci L. Wallace
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
10811 Washington Blvd., Culver City, CA, 90066
Phone Number
310-939-4297
Fax Number
310-745-2891
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10811 Washington Blvd.
City
Culver City
State
California
Zip
90066
Phone Number
310-939-4297
Fax Number
310-745-2891
person
Provider Business Mailing Address Details
Address
10811 Washington Blvd.
City
Culver City
State
California
Zip
90066
Phone Number
310-939-4297
Fax Number
310-745-2891
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PSY14644 (California)
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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