Individual provider · Type 1 NPI

Sydney Wallace

School Psychologist · Fairborn, OH

NPI number 1639076458 Active

Practice location

63 W Funderburg Rd
Fairborn, OH 45324

Mailing address

2930 Royal Troon Way Apt D
Beavercreek, OH 45324-7524

Specialties and licenses

TaxonomyCodeLicense
School Psychologist Primary 103TS0200XLSP.03137 (OH)

School Psychologist: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the …

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About NPI 1639076458

Sydney Wallace's National Provider Identifier is 1639076458, issued on Oct 23, 2026. The primary taxonomy on file is School Psychologist (103TS0200X), and the practice location is in Fairborn, OH. The record was last updated on Oct 23, 2026.