DR. Melissa M. Wallace, PSY.D.

NPI #1235216482 in Manchester, New Hampshire

Provider Information

NPI Number: 1235216482
Entity Type: Individual
Name: DR. Melissa M. Wallace, PSY.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Nov 1, 2006
Last Updated: Aug 13, 2014

Practice Location

Address: 250 COMMERCIAL STREET
Address 2: SUITE 3004
City: Manchester
State: New Hampshire
ZIP Code: 03101-1118
Phone: (603) 668-3050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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