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

Kenneth Ralph Wallace II, PSYD

Individual provider Clinical Psychologist · NPI 1417135815

Kenneth Ralph Wallace II, PSYD is a Clinical Psychologist in Vienna, Ohio. Practices as a sole proprietor. Licensed in Ohio and Pennsylvania.

Licensed in
OH, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3400 Warren-Sharon Rd
Vienna, OH 44473-9532
Phone: (330) 720-5768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4838 (OH)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS015513 (PA)

Record details

NPI number1417135815
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedFebruary 7, 2008
Last updated in NPPESFebruary 7, 2008

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