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

Lionel Wallace Jr.

Individual provider Speech-Language Pathologist · NPI 1053803312

Lionel Wallace Jr. is a Speech-Language Pathologist in Ypsilanti, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

5577 Whittaker Rd
Ypsilanti, MI 48197-9752
Phone: (734) 395-9282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101002558 (MI)

Record details

NPI number1053803312
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 3, 2018
Last updated in NPPESJune 3, 2018

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