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NPI Code Detail

MEDICARE: DONNA M WALLER C-TRNE

MEDICARE: DONNA M WALLER C-TRNE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC1400320OH

General Provider Information

NPI Number : 1881094225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA M WALLER C-TRNE
Provider Business Mailing Address
First Line : 5400 EDALBERT DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-7604
Country : US
Telephone Number : 513-577-7284
Fax Number :
Provider Business Practice Location Address
First Line : 21 E STATE ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4281
Country : US
Telephone Number : 574-546-1900
Fax Number : 574-546-1999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2014
Last Update Date : 03/02/2026

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Directions to “ DONNA M WALLER C-TRNE” Practice Location

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