Johanna Wallace, MS CCC-SLP | |
11440 Matzke Rd, Cypress, TX 77429-5015 | |
(850) 512-0156 | |
Not Available |
Full Name | Johanna Wallace |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 11440 Matzke Rd, Cypress, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942406723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA8966 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Johanna Wallace, MS CCC-SLP 13727 Waverly Crest Ct Ste 200, Cypress, TX 77429-6831 Ph: (850) 512-0156 | Johanna Wallace, MS CCC-SLP 11440 Matzke Rd, Cypress, TX 77429-5015 Ph: (850) 512-0156 |
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