Susan Wallace, CLINICIAN
NPI 1710247812 · Marriage & Family Therapist · Riverside, CA
Susan Wallace, CLINICIAN is a Marriage & Family Therapist provider in Riverside, CA (NPI 1710247812).
Provider details
- NPI number
- 1710247812
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- CLINICIAN
- Sex
- Female
- Sole proprietor
- No
- License
- MFC45089 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Mailing address
Additional practice locations (1)
- 255 N D St Ste 412San Bernardino, CA 92401-1715Phone: (951) 788-5905
Registry dates
- Enumerated
- 2012-05-22
- Last updated
- 2022-03-01
- Certified
- 2022-03-01
Frequently asked questions
- What is Susan Wallace's NPI number?
- Susan Wallace's National Provider Identifier (NPI) is 1710247812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Wallace's specialty?
- Susan Wallace is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Susan Wallace located?
- Susan Wallace's practice location on file with NPPES is 3576 Arlington Ave Ste 106, Riverside, CA 92506-3907.
- What is Susan Wallace's phone number?
- The practice phone number listed in the NPPES registry for Susan Wallace is (951) 788-5905.
- Is Susan Wallace's NPI active?
- Yes — Susan Wallace's NPI (1710247812) is active in the NPPES registry as of the last update on 2022-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.