MRS. SUZANNE MARIE WALLACE M. ED
NPI 1659433985
Counselor in Bridgeport, CT

Active since December 14, 2006
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604(203) 394-6529 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Suzanne Marie Wallace M. Ed NPPES

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

MRS. SUZANNE MARIE WALLACE M. ED (NPI 1659433985) is an individual counselor in Bridgeport, Connecticut and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1659433985
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. SUZANNE MARIE WALLACECredential: M. ED
Location Address180 FAIRFIELD AVEBridgeport, CT 06604-4252
Mailing Address239 Edward StFairfield, CT 06824-6702 · (203) 255-5882
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1659433985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
180 FAIRFIELD AVE, Bridgeport, CT 06604

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.

Social Worker (School)
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Community/Behavioral Health
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Student in an Organized Health Care Education/Training Program
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Social Worker
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Marriage & Family Therapist
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Marriage & Family Therapist
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Social Worker (Clinical)
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Counselor (Mental Health)
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604

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 Suzanne Wallace's NPI number?

The NPI number for Suzanne Wallace is 1659433985. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Suzanne Wallace located?

Suzanne Wallace practices at 180 Fairfield Ave, Bridgeport, CT 06604. The listed phone number is (203) 394-6529.

What is Suzanne Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Suzanne Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.