Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joanna Wallace

Individual provider Early Intervention Provider Agency · NPI 1760989537

Joanna Wallace is an Early Intervention Provider Agency in Gaston, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

241 Woodcote Dr
Gaston, SC 29053-8479
Phone: (803) 397-6902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1760989537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 9, 2018
Last updated in NPPESApril 15, 2018
Mailing address241 Woodcote Dr, Gaston, SC 29053-8479

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