Search › New Mexico › Speech-Language Pathologist
Kaitlynn Wallace
NPI 1790249100 · on the registry since 2019
Practice
- Address
- 1500 S Ave K
Station 3, Shroc
Portales, NM 88130 - Phone
- (575) 562-2156
- Organisation at this address
- Regional Education Center
Eastern New Mexico University
Regional Educational Center #6Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 128
Registry record
- Primary taxonomy
- Speech-Language Pathologist
235Z00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-27
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 New Mexico