Ellie N Wallace, M.S., SLP
NPI #1801635065 in Charleston, Illinois
Provider Information
- NPI Number
- 1801635065
- Entity Type
- Individual
- Name
- Ellie N Wallace, M.S., SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., SLP
- Enumeration Date
- May 20, 2024
- Last Updated
- May 20, 2024
Practice Location
- Address
- 801 JEFFERSON AVE
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-1527
- Phone
- (217) 639-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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