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

Jennifer Wallace

Individual provider Psychologist · NPI 1295083897

Jennifer Wallace is a Psychologist in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

4226 Green Lake Rd
West Bloomfield, MI 48323-1139
Phone: (248) 404-5616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301014813 (MI)

Record details

NPI number1295083897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESAugust 29, 2012
Mailing address4226 Green Lake Rd, West Bloomfield, MI 48323-1139

Other providers in West Bloomfield