Jane Lambert Wallace M.S., CCC-SLP

NPI 1366602609 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1366602609
Gender Female
Enumeration Date 06/10/2008
Last Updated 06/23/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
2150 WILMA RUDOLPH BLVD
SUITE 2
CLARKSVILLE TN, 37040-6675, US
Phone (931) 542-2168
Fax
Business Location
145 E GLENWOOD DR
CLARKSVILLE TN, 37040-3552, US
Phone (931) 552-4413
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Tennessee
License Number SP0000000552
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According to our database, Mrs. Jane Lambert Wallace M.S., CCC-SLP NPI is 1366602609, taxonomy code is 235Z00000X and license number is SP0000000552, license state is located at Tennessee. Jane Lambert Wallace M.S., CCC-SLP physically located at 2150 Wilma Rudolph Blvd, Clarksville TN, 37040-6675. NPI Number Jane Lambert Wallace M.S., CCC-SLP has the Individual type.

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1366602609 NPI number is provided on an as is basis without warranty of any kind. 1366602609 is maintained by the National Plan & Provider Enumeration System. The contents of Jane Lambert Wallace M.S., CCC-SLP are for informational purposes only.