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

Casey Wallace

Individual provider Clinical Psychologist · NPI 1619541877

Casey Wallace is a Clinical Psychologist in Commerce Township, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

2045 E West Maple Rd Ste D405
Commerce Township, MI 48390-3801
Phone: (248) 669-9500
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6362009880 (MI)

Record details

NPI number1619541877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address201 W New York Ave, Pontiac, MI 48340-1154

Other providers in Commerce Township