Cynthia Elaine Fay Wallace
Cynthia Elaine Fay Wallace is a Peer Specialist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.
- Licensed in
- MI
- In the registry since
- 2025
Practice location Address checks out
1115 Ball Ave NEGrand Rapids, MI 49505-5904
Phone: (616) 456-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (MI) |
|---|
Record details
| NPI number | 1437019924 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 17, 2025 |
| Last updated in NPPES | December 9, 2025 |
| Certification date | December 9, 2025 |
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