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

Individual provider Psychologist · NPI 1275719718

Dr. Terri Northup Wall, PHD is a Psychologist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
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

13500 Sutton Park Dr S Ste 203
Jacksonville, FL 32224-5251
Phone: (904) 992-9930
Fax: (904) 992-9937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY 6112 (FL)

Record details

NPI number1275719718
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 15, 2008
Last updated in NPPESJanuary 15, 2008

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