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

Mr. Michael Eugene Wallace, MA

Individual provider Clinical Psychologist · NPI 1003116658

Mr. Michael Eugene Wallace, MA is a Clinical Psychologist in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

201 E Liberty St Ste 2
Ann Arbor, MI 48104-2118
Phone: (734) 330-3580
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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 6301008847 (MI)

Record details

NPI number1003116658
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedOctober 29, 2010
Last updated in NPPESOctober 29, 2010

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