Mallory Wallace
NPI #1023572559 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1023572559
- Entity Type
- Individual
- Name
- Mallory Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 29, 2019
- Last Updated
- Jan 29, 2019
Practice Location
- Address
- 3430 BURNET AVE # 4011
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45229-2833
- Phone
- (513) 803-0878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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