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

Dr. Elizabeth Roslyn Wallace, PHD

Individual provider Clinical Psychologist · NPI 1568381416

Dr. Elizabeth Roslyn Wallace, PHD is a Clinical Psychologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY13295 (FL)

Record details

NPI number1568381416
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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