Johanna Wallace, MS CCC-SLP

NPI #1942406723 in Cypress, Texas

Provider Information

NPI Number
1942406723
Entity Type
Individual
Name
Johanna Wallace, MS CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS CCC-SLP
Enumeration Date
Jun 26, 2007
Last Updated
Aug 18, 2024

Practice Location

Address
11440 MATZKE RD
State
Texas
ZIP Code
77429-5015
Phone
(850) 512-0156

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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