Dr John Hugh G Wallace Jr, PHD in Groton, CT

Dr John Hugh G Wallace Jr, PHD is a Psychologist - Clinical based in Groton, Connecticut. Dr John Hugh G Wallace Jr is licensed to practice in Virginia (license number 0810002367) and his current practice location is Naval Ambulatory Care Center, Route 12, Bldg 449, Attn: Professional Affairs, Groton, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 694-2377.

NPI number for Dr John Hugh G Wallace Jr is 1972585156 and his current mailing address is Naval Ambulatory Care Center, Route 12, Bldg 449, Attn: Professional Affairs, Groton, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972585156.

Contact Information

	Dr John Hugh G Wallace Jr, PHD
	Naval Ambulatory Care Center, Route 12, Bldg 449, Attn: Professional Affairs, Groton, CT 06349-5600
	(860) 694-2377
	(860) 694-2590

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Hugh G Wallace Jr
Gender	Male
Speciality	Psychologist - Clinical
Location	Naval Ambulatory Care Center, Groton, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1972585156
Provider Enumeration Date: 11/15/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr John Hugh G Wallace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972585156	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810002367 (Virginia)	Primary

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 John Hugh G Wallace Jr 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 Address	Practice Location Address
Dr John Hugh G Wallace Jr, PHD Naval Ambulatory Care Center, Route 12, Bldg 449, Attn: Professional Affairs, Groton, CT 06349-5600 Ph: (860) 694-2377	Dr John Hugh G Wallace Jr, PHD Naval Ambulatory Care Center, Route 12, Bldg 449, Attn: Professional Affairs, Groton, CT 06349-5600 Ph: (860) 694-2377

Reviews and Comments

Psychologist in Groton, CT

Dr. Mayela Llaurador-castillo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966
Eguono Voke Akpoduado, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4998
Dr. Danielle Montufar Gleason, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: Nmrtu Groton, 1 Wahoo Drive, Groton, CT 06349 Phone: 860-694-4837 Fax: 860-694-3157
Mr. James Rory Glennon, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Naval Branch Health Clinic, Groton, CT 06349 Phone: 860-694-4966 Fax: 860-694-2101
Kathleen Smart, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966
Dr. Maxine L Varanko, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966 Fax: 860-694-3388
Mr. William Anthony Smithson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966

Dr John Hugh G Wallace Jr, PHD - Psychologist in Groton, CT