Holly Wallace, M.ED., CCC-SLP

NPI 1417186172 · on the registry since 2009 · sole proprietor

Practice

Address: 4560 Princess Anne Rd
Virginia Beach, VA 23462
Phone: (757) 474-1289
Organisation at this address: Genesis Healthcare
Our Lady Of Perpetual Help Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-07-02

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 Virginia