SearchGeorgiaSpeech-Language Pathologist

Vivian Wallace, M.ED

NPI 1821163023 · on the registry since 2006

Practice

Address
735 Longleaf Blvd
Suite A
Lawrenceville, GA 30045
Phone
(770) 995-2378
Fax
(678) 377-9272
Organisation at this address
Bailey Speech And Language Services
Bailey Speech And Language Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Speech-Language Pathologist
235Z00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Georgia