Wallace, Jeanann

Wallace, Jeanann is an sole proprietor health care provider with primary practice located at 25243 63Rd Ave , Little Neck NY 11362-2405. 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, Jeanann can be contacted via phone (718) 229-7068.

Contact Information

Primary practice address
25243 63Rd Ave Little Neck NY 11362-2405
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 010381-1 New York

Profile Details

NPI number 1376788901
LBN Legal business name Wallace, Jeanann
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - about 17 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.

Request for update

Popular Providers