Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA TYSON WALLACE, ATR, PC
ActiveDIANA TYSON WALLACE, ATR, PC is a Professional Counselor healthcare provider located in CLEVELAND, Ohio. NPI 1790027852 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CLEVELAND, OH
Registration Details
- NPI Number
- 1790027852
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2013 (13.42490228225 yrs)
- Last Updated
- Apr 10, 2017
- Licenses
-
C. 1000308 (OH)E.1700151 (OH)
Practice Information
- Address
-
3737 LANDER RDCLEVELAND, OH, 441245712Browse OH providers · Browse ZIP 44124
- Phone
- 2168312255
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Art Therapist
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in CLEVELAND, OH
| Name | Credential | NPI |
|---|---|---|
| MS. DONNA REED COLES | LPCC | 1194716696 |
| MRS. SUSAN MARGARET LIPIEC | LPCC-S | 1215906193 |
| PHYLLIS MARIS | MA, LPCC | 1982647152 |
| GARY A WILEY | MSED | 1437177326 |
| RUTH JANE TWADDELL | M.ED | 1679591507 |
| MAUREEN P SMITH | MA | 1801818372 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.