Mary Beth Wallace, CCC-SLP
NPI #1134253396 in Harrisburg, Arkansas
Provider Information
- NPI Number
- 1134253396
- Entity Type
- Individual
- Name
- Mary Beth Wallace, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Aug 14, 2017
Practice Location
- Address
- 2461 HIGHWAY 1
- City
- Harrisburg
- State
- Arkansas
- ZIP Code
- 72432-9479
- Phone
- (870) 578-2763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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