Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Marcy Marie Wallace, LSSP, PA

Individual provider Psychologist · NPI 1164737219

MS. Marcy Marie Wallace, LSSP, PA is a Psychologist in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14340 Torrey Chase Blvd Ste 160
Houston, TX 77014-1040
Phone: (281) 580-8086
Fax: (281) 580-7129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 30544 (TX)

Record details

NPI number1164737219
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSSP , PA
Sole proprietorYes
NPI enumeratedAugust 13, 2010
Last updated in NPPESAugust 13, 2010

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