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CASSANDRA WALLACE LPTN
NPI 1770750002
Licensed Psychiatric Technician in Little Rock, AR

Active since May 15, 2008
4601 W 7TH ST, LITTLE ROCK, AR 72205(501) 686-9393 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cassandra Wallace Lptn NPPES

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

CASSANDRA WALLACE LPTN (NPI 1770750002) is an individual licensed psychiatric technician in Little Rock, Arkansas, licensed in Arkansas (1658) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1770750002
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameCASSANDRA WALLACECredential: LPTN
Location Address4601 W 7TH STLittle Rock, AR 72205-5441
Mailing Address4601 W 7th StLittle Rock, AR 72205-5441 · (501) 686-9393
Phone(501) 686-9393
Sole ProprietorNo
Enumeration DateMay 15, 2008
✔ NPI 1770750002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in AR · 1658
Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

4601 W 7TH ST, Little Rock, AR 72205
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Other Providers at the Same Location NPPES 5

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

MS. SUSAN LOWREY RN
Registered Nurse (Psychiatric/Mental Health)
4601 W 7TH ST
LITTLE ROCK, AR 72205
Pulaski County (501) 529-4227
JOYCE ELLEN HAMMIL LPN
Licensed Practical Nurse
4601 W 7TH ST
LITTLE ROCK, AR 72205
Pulaski County (501) 626-9300
MRS. LISA MEREDITH LPN
Licensed Practical Nurse
4601 W 7TH ST
LITTLE ROCK, AR 72205
Pulaski County (870) 674-4415
MARIA MAE TOBLER BS
Case Manager/Care Coordinator
4601 W 7TH ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-9381
KENNETH DENTON WULF
Social Worker (Clinical)
4601 W 7TH ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-9393

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 Cassandra Wallace's NPI number?

The NPI number for Cassandra Wallace is 1770750002. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Cassandra Wallace located?

Cassandra Wallace practices at 4601 W 7th St, Little Rock, AR 72205. The listed phone number is (501) 686-9393.

What is Cassandra Wallace's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Cassandra Wallace was last updated on May 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.