Dr. Kathleen M. Wallace is a Vienna,, Ohio based psychologist with 32 years of experience in Clinical Psychology. She completed her graduation in 1992. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Kathleen M. Wallace is PS015630 for Clinical Psychology in Pennsylvania. Her current practice location is 3400 Warren-sharon Road, Vienna,. Patients can reach her at 330-720-5786. Dr. Kathleen M. Wallace is PSY.D in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1770636367. Dr. Kathleen M. Wallace is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Kathleen M. Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163666892
Enrollment ID:
I20130919000671
NPI Number:
1770636367
NPI Enumeration Date:
19 Jan, 2007
NPI Last Update On:
26 Mar, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathleen M. Wallace are as mentioned below.
License Number
Specialization
State
Status
PS015630
Clinical Psychology
Pennsylvania
Primary
4820
Clinical Psychology
Ohio
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kathleen M. Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
People In Need-lawrence County (6305833963)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kathleen M. Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7412444
Other
AETNA
000000867501
Other
ANTHEM BLUE CROSS BLUE SHIELD
0213754
Medicaid
Ohio
102574943
Medicaid
Pennsylvania
175402
Other
MHNET
001947342
Other
Pennsylvania
HIGHMARK BLUE SHIELD
1044444
Other
CIGNA
251830792
Other
MULTIPLAN PHCS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Kathleen M. Wallace 3438 Warren Sharon Rd, Vienna, Ohio
Zip:
44473-9532
Phone Number:
330-720-5786
Patients can reach Dr. Kathleen M. Wallace at 3400 Warren-sharon Road, Vienna,, Ohio or can call to book an appointment on 330-720-5786.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.