Search › Illinois › 235Z00000X
Janice Wallace, MA, CCC-SLP/L
NPI 1710241633 · on the registry since 2012
Practice
- Address
- 74 Old Home Rd
Eddyville, IL 62928 - Phone
- (618) 672-4300
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-25
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 Illinois