Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JEANANN WALLACE, CCC-SLP
Active Sole ProprietorMISS JEANANN WALLACE, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in LITTLE NECK, New York. NPI 1376788901 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · LITTLE NECK, NY
Registration Details
- NPI Number
- 1376788901
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2008 (17.491721820171 yrs)
- Last Updated
- Dec 11, 2008
- License
-
010381-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25243 63RD AVELITTLE NECK, NY, 113622405Browse NY providers · Browse ZIP 11362
- Phone
- 7182297068
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in LITTLE NECK, NY
| Name | Credential | NPI |
|---|---|---|
| ISABELITA NEGRON | — | 1881848489 |
| MS. KAREN J. POPOWSKY | M.S., CCC/SLP | 1295016335 |
| EMILY BLAIR TRICARICO | M.A. CCC-SLP | 1154691517 |
| MARISA LANDA | M.S., CCC-SLP | 1477824308 |
| NANCY LEE | — | 1790032803 |
| MRS. GABRIELLE ROSE BRYSON | — | 1326439753 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.