IndividualActive
Myles Wallace
NPI 1255299376 · Health Service Psychologist · Albemarle, NC
Provider details
- NPI number
- 1255299376
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1426 E Main St
Albemarle, NC 28001-5236
Phone: (704) 982-0950
Approximate (ZIP-level) locationGet directions
Mailing address
2405 Twinberry Ln
Waxhaw, NC 28173-6861
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.