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

Miss. Jeanann Wallace, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1376788901

Miss. Jeanann Wallace, CCC-SLP is a Speech-Language Pathologist in Little Neck, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

25243 63rd Ave
Little Neck, NY 11362-2405
Phone: (718) 229-7068
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 010381-1 (NY)

Record details

NPI number1376788901
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 11, 2008
Last updated in NPPESDecember 11, 2008

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