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

Dr. Ian Joseph Wallace, PHD

Individual provider Psychologist · NPI 1013143262

Dr. Ian Joseph Wallace, PHD is a Psychologist in Vallejo, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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

200 Maritime Academy Dr The California Maritime Academy Student Health Service
Vallejo, CA 94590-8181
Phone: (707) 654-1170
Fax: (707) 654-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY# 23646 (CA)

Record details

NPI number1013143262
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESJuly 23, 2013
Mailing address200 Maritime Academy Dr, The California Maritime Academy, Student Health Service, Vallejo, CA 94590-8181

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