Emily Marissa Wallace

NPI #1003700444 in Tulsa, Oklahoma

Provider Information

NPI Number
1003700444
Entity Type
Individual
Name
Emily Marissa Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 9, 2025
Last Updated
Jun 9, 2025

Practice Location

Address
6846 S CANTON AVE
City
Tulsa
ZIP Code
74136-3412
Phone
(918) 806-0106

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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