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DIANA TYSON WALLACE ATR, PC
NPI 1790027852
Counselor - Professional in Cleveland, OH

Active since March 26, 2013
3737 LANDER RD, CLEVELAND, OH 44124(216) 831-2255 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diana Tyson Wallace Atr, Pc NPPES

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

DIANA TYSON WALLACE ATR, PC (NPI 1790027852) is an individual professional provider in Cleveland, Ohio, licensed in Ohio (E.1700151) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1790027852
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDIANA TYSON WALLACECredential: ATR, PC
Location Address3737 LANDER RDCleveland, OH 44124-5712
Mailing Address3737 Lander RdCleveland, OH 44124-5712 · (216) 831-2255
Phone(216) 831-2255
Sole ProprietorNo
Enumeration DateMarch 26, 2013
Last NPPES UpdateApril 10, 2017
✔ NPI 1790027852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in OH · E.1700151✔ Licensed in OH · C. 1000308
Also ListedArt TherapistTaxonomy 221700000X
3737 LANDER RD, Cleveland, OH 44124
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Other Identifiers 1

Medicaid2871101OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASMINE G JORDAN LSW
Social Worker (Clinical)
3737 LANDER RD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 831-2255
MRS. TRACEY ROMAN MCKIERNAN LISW-S
Social Worker (Clinical)
3737 LANDER RD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 831-2255
DENNIS JAMES BRAZIEL
Case Manager/Care Coordinator
3737 LANDER RD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 831-2255
ANNA GRENIER PAWLIKOWSKI LISW
Social Worker (Clinical)
3737 LANDER RD
CLEVELAND, OH 44124
Cuyahoga County (216) 831-2255
MANSI P NG LISW-SUPV
Social Worker (Clinical)
3737 LANDER RD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 831-2255
MS. WHITNEY C JONES LSW
Social Worker (Clinical)
3737 LANDER RD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 831-2255
ZACHARY KENNEDY IRWIN
Social Worker
3737 LANDER RD
PEPPER PIKE, OH 44124
Cuyahoga County (724) 971-8690
SUNSERARAY GILMORE LPC
Counselor (Professional)
3737 LANDER RD
CLEVELAND, OH 44124
Cuyahoga County (216) 831-2255

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 Diana Wallace's NPI number?

The NPI number for Diana Wallace is 1790027852. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Diana Wallace located?

Diana Wallace practices at 3737 Lander Rd, Cleveland, OH 44124. The listed phone number is (216) 831-2255.

What is Diana Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Diana Wallace was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.