Mary Louise Wallace, MA, CCC-SLP
NPI #1114020369 in Boulder, Colorado
Provider Information
- NPI Number
- 1114020369
- Entity Type
- Individual
- Name
- Mary Louise Wallace, MA, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA, CCC-SLP
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Jul 9, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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