MARLENA RENEE WALLACE
NPI 1093622383
Psychologist - School in Crown City, OH
About Marlena Renee Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLENA RENEE WALLACE (NPI 1093622383) is an individual school provider in Crown City, Ohio, licensed in Ohio (LSP.03059) and active in the NPI registry since August 2026.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Marlena Wallace's NPI number?
The NPI number for Marlena Wallace is 1093622383. It was assigned to this individual provider in the NPPES registry on August 25, 2026.
Where is Marlena Wallace located?
Marlena Wallace practices at 284 Shoal Creek Rd, Crown City, OH 45623. The listed phone number is (740) 853-1947.
What is Marlena Wallace's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.
When was this NPI record last updated?
The NPPES record for Marlena Wallace was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.