Mrs. Alicia Wallace, MACCC-SLP
Mrs. Alicia Wallace, MACCC-SLP is a Speech-Language Pathologist in Saint James, New York. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
7 PondviewSaint James, NY 11780-3164
Phone: (631) 741-1743
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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 | 1265751457 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | May 27, 2010 |
| Last updated in NPPES | October 31, 2014 |
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