Dr Amanda Jo Wallace, PSYD - Psychologist in Poplar Bluff, MO

Dr Amanda Jo Wallace, PSYD is a Psychologist - Clinical based in Poplar Bluff, Missouri. Dr Amanda Jo Wallace is licensed to practice in Missouri (license number 2009031094) and her current practice location is 1500 N Westwood Blvd, Poplar Bluff, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 778-4122.

NPI number for Dr Amanda Jo Wallace is 1972908010 and her current mailing address is 1500 N Westwood Blvd, Poplar Bluff, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972908010.

Contact Information

Dr Amanda Jo Wallace, PSYD
1500 N Westwood Blvd,
Poplar Bluff, MO 63901-3318
(573) 778-4122
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Amanda Jo Wallace
GenderFemale
SpecialityPsychologist - Clinical
Location1500 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972908010
  • Provider Enumeration Date: 10/31/2014
  • Last Update Date: 10/31/2014

Medical Identifiers

Medical identifiers for Dr Amanda Jo Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972908010NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2009031094 (Missouri)Primary
103TF0200XPsychologist - Forensic 2009031094 (Missouri)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amanda Jo Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Psychologist in Poplar Bluff, MO

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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.
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Medicare: Medicare Enrolled
Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-686-4151    
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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.
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Medicare: Not Enrolled in Medicare
Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-778-4122    

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