Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN 'SUZI' WALLACE, PHD, PT, LPC
Active Sole ProprietorDR. SUSAN 'SUZI' WALLACE, PHD, PT, LPC is a Clinical Psychologist healthcare provider located in FORT SMITH, Arkansas. NPI 1124215256 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FORT SMITH, AR
Registration Details
- NPI Number
- 1124215256
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2007 (18.82277882397 yrs)
- Last Updated
- Aug 30, 2018
- Licenses
-
A0510074 (AR)1724 (AR)18-08P (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5111 ROGERS AVENUE, SUITE 533CENTRAL MALL PLAZA SUITES #533FORT SMITH, AR, 72903Browse AR providers · Browse ZIP 72903
- Phone
- 4796517413
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in FORT SMITH, AR
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN MARIE KRALIK | PH.D. | 1639177025 |
| DR. ANITRA S FAY | PH.D. | 1649224080 |
| DR. KRISTEN W ECKELHOFF | PSYD | 1003901604 |
| DR. ROBERT L. SPRAY, JR | PHD PA | 1245314574 |
| DR. NARISSA RAE GRIFFIN | PH.D. | 1457515108 |
| WILLIAM THORNTON | PHD | 1528219839 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.