Individual provider · Type 1 NPI

Cassandra Wallace, LPTN

Licensed Psychiatric Technician · Little Rock, AR

NPI number 1770750002 Active

Practice location

4601 W 7th St
Little Rock, AR 72205-5441

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X1658 (AR)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

5 other providers at this address

About NPI 1770750002

Cassandra Wallace, LPTN's National Provider Identifier is 1770750002, issued on May 15, 2008. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Little Rock, AR. The record was last updated on May 15, 2008.