Wallace, Alicia

Wallace, Alicia is an sole proprietor health care provider with primary practice located at 7 Pondview , Saint James NY 11780-3164. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wallace, Alicia can be contacted via phone (631) 741-1743.

Contact Information

Primary practice address
7 Pondview Saint James NY 11780-3164
Phone: (631) 741-1743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1265751457
LBN Legal business name Wallace, Alicia
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2010
Last updated Oct 31st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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