Healthcare Provider Details

I. General information

NPI: 1295665792
Provider Name (Legal Business Name): PAIGE WALLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAIGE OSTERHUES

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 HENSLEY AVE
HAMILTON OH
45011-3905
US

IV. Provider business mailing address

912 LEGACY CT
TRENTON OH
45067-8601
US

V. Phone/Fax

Practice location:
  • Phone: 513-868-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: