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

Individual provider Psychologist · NPI 1437149739

Dr. Timothy R Wallace, PHD is a Psychologist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2005.

Licensed in
MA
In the registry since
2005
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

125 Nashua Street Spaulding Rehab Hospital
Boston, MA 02114-1198
Phone: (617) 573-2694
Fax: (217) 573-2229
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Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 4282 (MA)

Record details

NPI number1437149739
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 27, 2005
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142

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