Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Cynthia Lewis Wallace, PHD

Individual provider Clinical Psychologist · NPI 1508213158

Dr. Cynthia Lewis Wallace, PHD is a Clinical Psychologist in Fort Bragg, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2817 Reilly St
Fort Bragg, NC 28310-1078
Phone: (910) 907-6999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810005436 (VA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 5096 (NC)

Record details

NPI number1508213158
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 24, 2016
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

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