MISS Jeanann Wallace, CCC-SLP
NPI #1376788901 in Little Neck, New York
Provider Information
- NPI Number
- 1376788901
- Entity Type
- Individual
- Name
- MISS Jeanann Wallace, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Dec 11, 2008
- Last Updated
- Dec 11, 2008
Practice Location
- Address
- 25243 63RD AVE
- City
- Little Neck
- State
- New York
- ZIP Code
- 11362-2405
- Phone
- (718) 229-7068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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