Susan 'Suzi' Wallace in Fort Smith - Clinical
Susan 'Suzi' Wallace - NPI 1124215256
Susan 'Suzi' Wallace is a Clinical in Fort Smith, Arkansas. Susan 'Suzi' Wallace practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan 'Suzi' Wallace is 1124215256. The last update date is 2018-08-30.
Susan 'Suzi' Wallace's current location address is 4711 Oak Hollow Lane, Fort Smith, Arkansas. You can contact this provider via phone number 4796517413. The mailing address for Susan 'Suzi' Wallace is 4711 Oak Hollow Lane, Fort Smith, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan 'Suzi' Wallace |
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Address | 4711 Oak Hollow Lane, Fort Smith, Arkansas |
Phone Number | 4796517413 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PHD, PT, L |
NPI Number Detail
NPI Number | 1124215256 |
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Provider Enumeration Date | 2007-10-03 |
Last Updated Date | 2018-08-30 |
Provider Mailing Address Detail
Address | 4711 Oak Hollow Lane |
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City | Fort Smith |
State | Arkansas (AR) |
Post Code | 72903 |
Phone Number | 4796517413 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 18-08P |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Susan 'Suzi' Wallace by the Centers for Medicare & Medicaid Services?
The Susan 'Suzi' Wallace has been assigned the NPI (National Provider Identifier) 1124215256 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Susan 'Suzi' Wallace's facilities are geographically located?
The facilities of Susan 'Suzi' Wallace are physically situated at the following location: 4711 Oak Hollow Lane, Fort Smith, AR, 72903.
What is the area of specialization for Susan 'Suzi' Wallace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan 'Suzi' Wallace is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did Susan 'Suzi' Wallace receive its 1124215256 assignment from the Centers for Medicare & Medicaid Services?
The Susan 'Suzi' Wallace was assigned its 1124215256 on 2007-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Susan 'Suzi' Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan 'Suzi' Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-08-30.