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

Dr. Ian Joseph Wallace, PHD

Individual provider Psychologist · NPI 1013143262

Dr. Ian Joseph Wallace, PHD is a Psychologist in Vallejo, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

200 Maritime Academy Dr The California Maritime Academy Student Health Service
Vallejo, CA 94590-8181
Phone: (707) 654-1170
Fax: (707) 654-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY# 23646 (CA)

Record details

NPI number1013143262
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESJuly 23, 2013

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