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

Dr. Traci L. Wallace, PHD

Individual provider Psychologist · NPI 1881630093

Dr. Traci L. Wallace, PHD is a Psychologist in Culver City, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

10811 Washington Blvd Ste 280
Culver City, CA 90066
Phone: (310) 939-4297
Fax: (310) 745-2891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY14644 (CA)

Record details

NPI number1881630093
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESJuly 8, 2007

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