National Provider Identifier Database

CYNTHIA LEWIS WALLACE, PhD – NPI #1508213158
Clinical

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 breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

CYNTHIA LEWIS WALLACE, PhD
2817 REILLY ST
FORT BRAGG, NC28310-1078
Phone: 910-907-6999
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for CYNTHIA LEWIS WALLACE

NPI Number 1508213158
Credentials PhD
Entity Individual
Enumeration date 05/24/2016
Last updated 10/13/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • NC License #: 5096
  • VA License #: 0810005436
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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