What is Susan 'Suzi' Wallace's NPI number?

Susan 'Suzi' Wallace's National Provider Identifier (NPI) is 1124215256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Susan 'Suzi' Wallace's specialty?

Susan 'Suzi' Wallace is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Susan 'Suzi' Wallace located?

Susan 'Suzi' Wallace's practice location on file with NPPES is 5111 Rogers Avenue, Suite 533, Fort Smith, AR 72903.

What is Susan 'Suzi' Wallace's phone number?

The practice phone number listed in the NPPES registry for Susan 'Suzi' Wallace is (479) 651-7413.

Is Susan 'Suzi' Wallace's NPI active?

Yes — Susan 'Suzi' Wallace's NPI (1124215256) is active in the NPPES registry as of the last update on 2018-08-30.

IndividualActive

Susan 'Suzi' Wallace, PHD, PT, LPC

NPI 1124215256 · Clinical Psychologist · Fort Smith, AR

Susan 'Suzi' Wallace, PHD, PT, LPC is a Clinical Psychologist provider in Fort Smith, AR (NPI 1124215256).

Provider details

NPI number: 1124215256
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PHD, PT, LPC
Sex: Female
Sole proprietor: Yes
License: A0510074 (AR)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 18-08P (AR)
Behavioral Health & Social Service Providers
Professional Counselor101YP2500XLicense A0510074 (AR)
Behavioral Health & Social Service Providers
Physical Therapist225100000XLicense 1724 (AR)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Detailed profile(98/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
3 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5111 Rogers Avenue, Suite 533

Central Mall Plaza Suites #533

Fort Smith, AR 72903

Phone: (479) 651-7413

Street-level locationGet directions

More AR providers

Mailing address

4711 Oak Hollow Lane

Fort Smith, AR 72903

Additional practice locations (2)

4711 Oak Hollow Lane
Fort Smith, AR 72903
Phone: (479) 651-7413
3111 S 70th St
Fort Smith, AR 72903-5017
Phone: (479) 452-6650
Fax: (479) 785-9495

Enumerated: 2007-10-03
Last updated: 2018-08-30

Frequently asked questions

What is Susan 'Suzi' Wallace's NPI number?: Susan 'Suzi' Wallace's National Provider Identifier (NPI) is 1124215256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Susan 'Suzi' Wallace's specialty?: Susan 'Suzi' Wallace is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
Where is Susan 'Suzi' Wallace located?: Susan 'Suzi' Wallace's practice location on file with NPPES is 5111 Rogers Avenue, Suite 533, Fort Smith, AR 72903.
What is Susan 'Suzi' Wallace's phone number?: The practice phone number listed in the NPPES registry for Susan 'Suzi' Wallace is (479) 651-7413.
Is Susan 'Suzi' Wallace's NPI active?: Yes — Susan 'Suzi' Wallace's NPI (1124215256) is active in the NPPES registry as of the last update on 2018-08-30.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.