Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Knight Wallace, EDD

Individual provider Professional Counselor · NPI 1548493091

Glen Knight Wallace, EDD is a Professional Counselor in Okalhoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in
OK
In the registry since
2009
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

See every abbreviation used in this directory →

Practice location Address checks out

7932 Nicholson
Okalhoma City, OK 73162
Phone: (405) 728-1173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 535 (OK)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 333 (OK)

Record details

NPI number1548493091
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorNo
NPI enumeratedSeptember 1, 2009
Last updated in NPPESSeptember 1, 2009