Search › Florida › 235Z00000X
Davina Wallace, M.S.,CCC-SLP
NPI 1316282205 · on the registry since 2012 · sole proprietor
Practice
- Address
- 12768 Wood Trail Blvd
Tampa, FL 33625 - Phone
- (813) 215-6275
- Fax
- (866) 636-0443
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 222Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida