Elizabeth J Wallace CCC-SLP

NPI 1255562559 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1255562559
Gender Female
Enumeration Date 08/04/2009
Last Updated 10/11/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
1101 CARTER STREET
CHATTANOOGA TN, 37402, US
Phone (423) 490-7710
Fax (423) 490-7750
Business Location
1101 CARTER STREET
CHATTANOOGA TN, 37402, US
Phone (423) 490-7710
Fax (423) 490-7750
Toxanomy
Taxonomy Code 235Z00000X
License State Tennessee
License Number SP4096
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According to our database, Elizabeth J Wallace CCC-SLP NPI is 1255562559, taxonomy code is 235Z00000X and license number is SP4096, license state is located at Tennessee. Elizabeth J Wallace CCC-SLP physically located at 1101 Carter Street, Chattanooga TN, 37402. NPI Number Elizabeth J Wallace CCC-SLP has the Individual type.

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1255562559 NPI number is provided on an as is basis without warranty of any kind. 1255562559 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth J Wallace CCC-SLP are for informational purposes only.