MISS JEANANN WALLACE, CCC-SLP
Speech-Language Pathologist
Active
Individual
NPI: 1376788901
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | 010381-1 (NY) |
Frequently Asked Questions
NPI 1376788901 is the National Provider Identifier for MISS JEANANN WALLACE, CCC-SLP, a Speech-Language Pathologist provider located in Little Neck, NY. This NPI was enumerated on December 11, 2008.
MISS JEANANN WALLACE, CCC-SLP practices at 25243 63RD AVE, Little Neck, NY 11362.
Quick Facts
- NPI
- 1376788901
- Type
- Individual
- Enumerated
- Dec 11, 2008
- Last Updated
- Dec 11, 2008
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EMILY DIBARI, SLP-CCC
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