AARON L. WALLIS PHD – NPI #1386406551
Psychologist

AARON WALLIS is a psychologist located in MANCOS, CO. NPPES recently assigned the NPI number 1386406551 to AARON WALLIS on January 24, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 103T00000X from the Health Care Provider Taxonomy code set, which is classified as Psychologist.

The NPI profile was last updated on Feb 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AARON WALLIS below.

NPI Profile for
AARON L. WALLIS

NPI Number
1386406551
Created

(about 5 weeks ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AARON L. WALLIS
Credentials
PHD
Primary location
13520 ROAD 42
MANCOS, CO 81328-9046
Phone: (210) 380-8200 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Feb 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
103T00000X
- Psychologist (Primary)
CO PSY.0004513
103TC1900X
- Psychologist / Counseling
CO PSY.0004513

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.