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

Myles Jamar Wallace

Individual provider Health Service Psychologist · NPI 1255299376

Myles Jamar Wallace is a Health Service Psychologist in Albemarle, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

1426 E Main St
Albemarle, NC 28001-5236
Phone: (704) 982-0950
Show map & directions

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

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X (NC)

Record details

NPI number1255299376
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address2405 Twinberry Ln, Waxhaw, NC 28173-6861