Wallace, Tabitha Lacie

Wallace, Tabitha Lacie is an sole proprietor health care provider with primary practice located at 5300 Lafayette Ave , Sebring FL 33875-5686. 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, Tabitha Lacie can be contacted via phone (863) 414-5207.

Contact Information

Primary practice address
5300 Lafayette Ave Sebring FL 33875-5686
Phone: (863) 414-5207
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1740981828
LBN Legal business name Wallace, Tabitha Lacie
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2023
Last updated Mar 15th, 2023 - about 2 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