MRS. Kathleen Peterson Wallace, MA, CCC-SLP

NPI #1154507820 in Covington, Tennessee

Provider Information

NPI Number
1154507820
Entity Type
Individual
Name
MRS. Kathleen Peterson Wallace, MA, CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MA, CCC-SLP
Enumeration Date
Jan 12, 2008
Last Updated
Jan 12, 2008

Practice Location

Address
425 MCLILLIE LN
ZIP Code
38019-6413
Phone
(901) 476-7918

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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