DAN L WALLACE LPC NPI 1538455217

NPI Information

NPI: 1538455217
Provider Name: DAN L WALLACE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
60 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 695-1240
Get Directions

Dan L Wallace, LPC is a professional counselor in Fayetteville, AR. Dan L Wallace, LPC NPI is 1538455217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

60 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703-822
Phone: (479) 695-1240
Fax: (479) 750-4843

The enumeration date for this NPI number is 6/21/2011 and was last updated on 1/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	P0504028	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »