SUSANNE R WALLACE
NPI 1881992063
Specialist in Great Barrington, MA

Q: What is Susanne Wallace's NPI number?

The NPI number for Susanne Wallace is 1881992063. It was assigned to this individual provider in the NPPES registry on March 11, 2011.

Q: What is Susanne Wallace's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Susanne Wallace was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 11, 2011

442 STOCKBRIDGE ROAD, GREAT BARRINGTON, MA 01230(413) 644-0104 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susanne R Wallace NPPES

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

SUSANNE R WALLACE (NPI 1881992063) is an individual specialist in Great Barrington, Massachusetts, licensed in Massachusetts (2083442) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1881992063

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSUSANNE R WALLACE

Location Address442 STOCKBRIDGE ROADGreat Barrington, MA 01230

Mailing Address442 Stockbridge RoadGreat Barrington, MA 01230 · (413) 644-0104

Phone(413) 644-0104

Sole ProprietorNo

Enumeration DateMarch 11, 2011

✔ NPI 1881992063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MA · 2083442

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

442 STOCKBRIDGE ROAD, Great Barrington, MA 01230

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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 Susanne Wallace's NPI number?

The NPI number for Susanne Wallace is 1881992063. It was assigned to this individual provider in the NPPES registry on March 11, 2011.

Where is Susanne Wallace located?

Susanne Wallace practices at 442 Stockbridge Road, Great Barrington, MA 01230. The listed phone number is (413) 644-0104.

What is Susanne Wallace's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Susanne Wallace was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.