| Dr Amanda Jo Wallace, PSYD | |
|
1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | |
| (573) 778-4122 | |
| Not Available |
| Full Name | Dr Amanda Jo Wallace |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1500 N Westwood Blvd, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972908010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2009031094 (Missouri) | Primary |
| 103TF0200X | Psychologist - Forensic | 2009031094 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda Jo Wallace, PSYD 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 Ph: (573) 778-4122 | Dr Amanda Jo Wallace, PSYD 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 Ph: (573) 778-4122 |
Dr. John Owen Wood, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1906 Greenwood Dr # B, Poplar Bluff, MO 63901 Phone: 573-778-3913 | |
Russell Louis Dixon, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4151 | |
Dr. Marylee Jennings, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4789 | |
Dr. Amber Wheeler Richardson, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 225 Physicians Park, Ste 300, Poplar Bluff, MO 63901 Phone: 573-778-0705 Fax: 573-778-0925 | |
Dr. Donna Lynn Parkinson, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4151 | |
Dr. Bridget Hurt, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 907 N Main St, Poplar Bluff, MO 63901 Phone: 573-776-6236 Fax: 573-776-6236 | |
Dr. Matthew Douglas Geyer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4122 |