Individual
DIANA TYSON WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR, PC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C. 1000308
OH
101YP2500X
Professional Counselor
Primary
E.1700151
OH
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871101
—
OH
Enumeration date
03/26/2013
Last updated
04/10/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up