Wallace, Susan 'Suzi'

Wallace, Susan 'Suzi' is an sole proprietor health care provider with primary practice located at 5111 Rogers Avenue, Suite 533 Central Mall Plaza Suites #533, Fort Smith AR 72903. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wallace, Susan 'Suzi' can be contacted via phone (479) 651-7413.

Contact Information

Primary practice address
5111 Rogers Avenue, Suite 533 Central Mall Plaza Suites #533 Fort Smith AR 72903
Phone: (479) 651-7413
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X A0510074 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1724 Arkansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 18-08P Arkansas

Profile Details

NPI number 1124215256
LBN Legal business name Wallace, Susan 'Suzi'
Credentials PHD, PT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2007
Last updated Aug 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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