Search › Arkansas › 101YP2500X
Dan Wallace, LPC
NPI 1538455217 · on the registry since 2011
Practice
- Address
- 60 W Sunbridge Dr
Fayetteville, AR 72703 - Phone
- (479) 695-1240
- Fax
- (479) 750-4843
- Organisation at this address
- Elevate Muscle & Joint
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 304
Additional practice sites
- 2003 Se Walton Blvd, Bentonville, AR
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas