Hayley Wallace, MS, CCC-SLP

NPI #1194011593 in Groves, Texas

Provider Information

NPI Number
1194011593
Entity Type
Individual
Name
Hayley Wallace, MS, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS, CCC-SLP
Enumeration Date
Jun 23, 2011
Last Updated
Jun 23, 2011

Practice Location

Address
6862 WHITBY LN
Address 2
#4
City
Groves
State
Texas
ZIP Code
77619-4965
Phone
(409) 543-0977

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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