Amanda Wallace, PSY.D.
NPI 1972908010 · Clinical Psychologist · Poplar Bluff, MO
Amanda Wallace, PSY.D. is a Clinical Psychologist provider in Poplar Bluff, MO (NPI 1972908010).
Provider details
- NPI number
- 1972908010
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2009031094 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-10-31
- Last updated
- 2014-10-31
Frequently asked questions
- What is Amanda Wallace's NPI number?
- Amanda Wallace's National Provider Identifier (NPI) is 1972908010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Wallace's specialty?
- Amanda Wallace is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Amanda Wallace located?
- Amanda Wallace's practice location on file with NPPES is 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318.
- What is Amanda Wallace's phone number?
- The practice phone number listed in the NPPES registry for Amanda Wallace is (573) 778-4122.
- Is Amanda Wallace's NPI active?
- Yes — Amanda Wallace's NPI (1972908010) is active in the NPPES registry as of the last update on 2014-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.