| Kaley C Wallace, MS, CCC-SLP | |
|
1601 Sailmaker Way # B109, Knoxville, TN 37920-5467 | |
| (423) 335-1398 | |
| Not Available |
| Full Name | Kaley C Wallace |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1601 Sailmaker Way # B109, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306495452 | NPI | - | NPPES |
| 0000006562 | Other | TN | SPEECH LANGUAGE PATHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 0000006562 (Tennessee) | Secondary |
| 235Z00000X | Speech-language Pathologist | 6562 (Tennessee) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20121228000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaley C Wallace, MS, CCC-SLP 1601 Sailmaker Way # B109, Knoxville, TN 37920-5467 Ph: () - | Kaley C Wallace, MS, CCC-SLP 1601 Sailmaker Way # B109, Knoxville, TN 37920-5467 Ph: (423) 335-1398 |
Jennifer Lee Henderson, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 126, Knoxville, TN 37923 Phone: 678-246-9425 Fax: 865-769-0801 | |
Mrs. Elizabeth Lafuze Gill, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10336 Harrison Springs Ln, Knoxville, TN 37932 Phone: 239-691-1151 | |
Pamela Rose Koebcke, M.S., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 Corporate Dr Ste 101, Knoxville, TN 37923 Phone: 865-693-5622 Fax: 865-686-5828 | |
Isabelle Katherine Gelfand, M.ED., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10133 Sherrill Blvd, Knoxville, TN 37932 Phone: 865-242-8575 | |
Speech Pathology Associates Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Glennshire Dr, Knoxville, TN 37923 Phone: 865-705-8688 | |
Meaghan Ruppert, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9040 Executive Park Dr, Suite 105, Knoxville, TN 37923 Phone: 423-312-1585 Fax: 865-769-0801 | |
Lauryn Dills, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr, Suite 126, Knoxville, TN 37923 Phone: 865-693-5622 Fax: 865-769-0801 |