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

Individual provider Clinical Psychologist · NPI 1114472735

Dr. Rebecca M Wallace, PSYD is a Clinical Psychologist in Oklahoma City, Oklahoma. Qualified in 2015, 11 years ago. Practices with Children's Hospital, a 20-clinician group and accepts Medicare assignment. Licensed in Arkansas and Oklahoma.

Years since qualifying
11
Licensed in
AR, OK
In the registry since
2016
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1200 Childrens Ave Ste 12400
Oklahoma City, OK 73104-4637
Phone: (405) 271-4407
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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 1272 (OK)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1508APPL (AR)

Record details

NPI number1114472735
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 24, 2016
Last updated in NPPESApril 28, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Children'S Hospital — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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