Individual provider · Type 1 NPI

Cynthia Lewis Wallace, PhD

Clinical Psychologist · Fort Bragg, NC

NPI number 1508213158 Active

Practice location

2817 Reilly St
Fort Bragg, NC 28310-1078

Call (910) 907-6999 Map

Mailing address

112 Evans Crest Ln
Holly Springs, NC 27540-6181

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810005436 (VA)
Clinical Psychologist 103TC0700X5096 (NC)

Clinical Psychologist: 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 discip…

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About NPI 1508213158

Cynthia Lewis Wallace, PhD's National Provider Identifier is 1508213158, issued on May 24, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Bragg, NC. The record was last updated on Oct 13, 2021.