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

Marisa Wallace, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1952015844

Marisa Wallace, MSCCC-SLP is a Speech-Language Pathologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

220 Irving Ave
Brooklyn, NY 11237-5011
Phone: (718) 574-0252
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 032673-01 (NY)

Record details

NPI number1952015844
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 6, 2023
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 5, 2023
Mailing address220 Irving Ave, Brooklyn, NY 11237-5011

Other providers in Brooklyn