Dr Susan 'suzi' Wallace, PSYCHOLOGIST is a
Psychologist - Clinical based in Anchorage, Alaska. Dr Susan 'suzi' Wallace is licensed to practice in Alaska (license number 242882) and her current practice location is
4341 Tudor Centre Dr Ste 300, Anchorage, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 729-2500.
NPI number for Dr Susan 'suzi' Wallace is 1124215256 and her current mailing address is 7033 E Tudor Rd, Anchorage, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124215256.
Healthcare Provider's Profile
| Full Name | Dr Susan 'suzi' Wallace |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 4341 Tudor Centre Dr Ste 300, Anchorage, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124215256
- Provider Enumeration Date: 10/03/2007
- Last Update Date: 06/09/2026
Medical Identifiers
Medical identifiers for Dr Susan 'suzi' Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124215256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1724 (Arkansas) | Secondary |
| 101YP2500X | Counselor - Professional | A0510074 (Arkansas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 18-08P (Arkansas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 242882 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan 'suzi' Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Susan 'suzi' Wallace, PSYCHOLOGIST
7033 E Tudor Rd,
Anchorage, AK 99507-1262
Ph: (907) 729-6801 | Dr Susan 'suzi' Wallace, PSYCHOLOGIST
4341 Tudor Centre Dr Ste 300,
Anchorage, AK 99508-5904
Ph: (907) 729-2500 |
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