Stephanie Wallace, SLP
NPI #1225509524 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1225509524
- Entity Type
- Individual
- Name
- Stephanie Wallace, SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Dec 11, 2018
- Last Updated
- Dec 11, 2018
Practice Location
- Address
- 1014 GLEN CROSSING RD
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-8517
- Phone
- (618) 655-6150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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