Search › Ohio › 103TC0700X
Kenneth Wallace, PSY.D
NPI 1417135815 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3400 Warren-Sharon Road
Vienna, OH 44473 - Phone
- (330) 720-5768
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- PA, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-07
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 Ohio