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DR. CYNTHIA LEWIS WALLACE PH.D.
NPI 1508213158
Psychologist - Clinical in Fort Bragg, NC

Active since May 24, 2016
2817 REILLY ST, FORT BRAGG, NC 28310(910) 907-6999 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2021, Apr 24, 2017 (2 updates tracked since 2017).

About Dr. Cynthia Lewis Wallace Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CYNTHIA LEWIS WALLACE PH.D. (NPI 1508213158) is an individual clinical provider in Fort Bragg, North Carolina, licensed in Virginia (0810005436) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1508213158
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CYNTHIA LEWIS WALLACECredential: PH.D.
Location Address2817 REILLY STFort Bragg, NC 28310-1078
Mailing Address112 Evans Crest LnHolly Springs, NC 27540-6181 · (440) 503-7071
Phone(910) 907-6999
Sole ProprietorYes
Enumeration DateMay 24, 2016
Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
✔ NPI 1508213158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in VA · 0810005436✔ Licensed in NC · 5096
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2817 REILLY ST, Fort Bragg, NC 28310
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARILYN MACKEPRANG
Dental Assistant
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 643-2196
MRS. STEPHANIE BURG LCSW
Social Worker (Clinical)
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
JACOB MATTHEW HYDE PHARMD
Pharmacist
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 907-6337
CAITLYN OCAMPO
Pharmacist
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 908-2291
ROBIN DENISE MURDOCK
Social Worker (Clinical)
2817 REILLY ST, DEPARTMENT OF THE ARMY
FORT BRAGG, NC 28310
Cumberland County (910) 643-1772
TERESA OVERMAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2817 REILLY ST
FT BRAGG, NC 28310
Cumberland County (910) 907-6337
FRANK LAGA
Dentist
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 643-2196
ALYSSA CORDELL LCSW
Social Worker (Clinical)
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Lewis Wallace's NPI number?

The NPI number for Cynthia Lewis Wallace is 1508213158. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Cynthia Lewis Wallace located?

Cynthia Lewis Wallace practices at 2817 Reilly St, Fort Bragg, NC 28310. The listed phone number is (910) 907-6999.

What is Cynthia Lewis Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Cynthia Lewis Wallace was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.