Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Susan 'Suzi Wallace, PSYCHOLOGIST

Individual provider Physical Therapist · NPI 1124215256

Dr. Susan 'Suzi Wallace, PSYCHOLOGIST is a Clinical Psychologist in Anchorage, Alaska. Qualified in 2016, 10 years ago. Practices as a sole proprietor and works from 4 locations. Licensed in Alaska and Arkansas.

Years since qualifying
10
Licensed in
AK, AR
In the registry since
2007
Specialties on file
4
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Practice location Address checks out

4341 Tudor Centre Dr Ste 300
Anchorage, AK 99508-5904
Phone: (907) 729-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4711 Oak Hollow Lane, Fort Smith, AR 72903 — (479) 651-7413
  • 5111 Rogers Avenue, Suite 533, Fort Smith, AR 72903 — (479) 651-7413
  • 3111 S 70th St, Fort Smith, AR 72903-5017 — (479) 452-6650

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 242882 (AK)
Physical Therapist Taxonomy 225100000X · Licence 1724 (AR)
Professional Counselor Taxonomy 101YP2500X · Licence A0510074 (AR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 18-08P (AR)

Record details

NPI number1124215256
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHOLOGIST
Sole proprietorYes
NPI enumeratedOctober 3, 2007
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Anchorage