Search › Kentucky › 1041C0700X
Diana Wallace, LCSW
NPI 1336145432 · on the registry since 2005
Practice
- Address
- 1 Nunn Dr
University Center, Suite 440
Newport, KY 41099 - Phone
- (859) 572-5650
- Fax
- (859) 572-5615
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- CT, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky