NPI 1770750002

Cassandra Wallace, LPTN

Practitioner Licensed Psychiatric Technician Little Rock, AR

Practice location

Address: 4601 W 7th St, Little Rock, AR 72205-5441
Phone: (501) 686-9393

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence 1658 (AR)

Other Licensed Psychiatric Technician providers in Arkansas →

Registry record

NPI: 1770750002
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2008
Record last updated: 15 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.