Wallace, Kathleen Peterson
Wallace, Kathleen Peterson is an individual health care provider with primary practice located at 425 Mclillie Ln , Covington TN 38019-6413. 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, Kathleen Peterson can be contacted via phone (901) 476-7918.Contact Information
Primary practice address
425 Mclillie Ln
Covington TN 38019-6413
Phone: (901) 476-7918
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP 0000000512 | Tennessee |
Profile Details
| NPI number | 1154507820 |
|---|---|
| LBN Legal business name | Wallace, Kathleen Peterson |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2008 |
| Last updated | Jan 12th, 2008 - about 16 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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