Brieanna Wallace
Brieanna Wallace is a Speech-Language Pathologist in Port St Lucie, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
10975 SW Pacini WayPort St Lucie, FL 34987-6306
Phone: (954) 319-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1962145276 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | April 14, 2022 |
| Certification date | April 14, 2022 |
| Mailing address | 10975 Sw Pacini Way, Port St Lucie, FL 34987-6306 |
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