DR. John Hugh G Wallace JR., PHD
NPI #1972585156 in Groton, Connecticut
Provider Information
- NPI Number
- 1972585156
- Entity Type
- Individual
- Name
- DR. John Hugh G Wallace JR., PHD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Nov 15, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- NAVAL AMBULATORY CARE CENTER
- Address 2
- ROUTE 12, BLDG 449, ATTN: PROFESSIONAL AFFAIRS
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06349-5600
- Phone
- (860) 694-2377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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