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

Dr. Daniel Wall, PHD, LP

Individual provider Psychologist · NPI 1184901969

Dr. Daniel Wall, PHD, LP is a Clinical Psychologist in Waterford, Michigan. Qualified in 2011, 15 years ago. Practices with Lifelens Psychological and Counseling Services, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4000 W Walton Blvd Ste B
Waterford, MI 48329-4191
Phone: (248) 461-6266
Fax: (248) 791-7905
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301014904 (MI)

Record details

NPI number1184901969
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedNovember 8, 2011
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023
Mailing address4000 W Walton Blvd Ste B, Waterford, MI 48329-4191

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lifelens Psychological And Counseling Services — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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