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Dr. Amanda Jo Wallace, PSYD
Forensic Psychologist in Poplar Bluff, Missouri
NPI 1972908010

Amanda Jo Wallace is a Forensic Psychologist based in Poplar Bluff, MO and is specialized in Forensic. Amanda Jo Wallace practices in Poplar Bluff, MO and has the professional credentials of PSYD. The NPI Number for Amanda Jo Wallace is 1972908010 and holds a License No. 2009031094 (Missouri).

The current practice location address for Amanda Jo Wallace is 1500 N Westwood Blvd, Poplar Bluff, MO and can be reached out via phone at 573-778-4122.

Location: 1500 N Westwood Blvd, Poplar Bluff, MO, 63901-3318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972908010
Provider Name
Amanda Jo Wallace
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1500 N Westwood Blvd, Poplar Bluff, MO, 63901-3318
Phone Number
573-778-4122
Fax Number
Provider Enumeration Date
10/31/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 N Westwood Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-3318
Phone Number
573-778-4122
Fax Number
person
Provider Business Mailing Address Details
Address
1500 N Westwood Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-3318
Phone Number
573-778-4122
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
2009031094 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
2009031094 (Missouri)
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
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