Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Amanda Jo Wallace, PSYD

Individual provider Clinical Psychologist · NPI 1972908010

Dr. Amanda Jo Wallace, PSYD is a Clinical Psychologist in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone: (573) 778-4122
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2009031094 (MO)
Forensic Psychologist Taxonomy 103TF0200X · Licence 2009031094 (MO)

Record details

NPI number1972908010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 31, 2014
Last updated in NPPESOctober 31, 2014

Other providers in Poplar Bluff