| Lionel Wallace Jr, | |
|
5577 Whittaker Rd, Ypsilanti, MI 48197-9752 | |
| (734) 395-9282 | |
| Not Available |
| Full Name | Lionel Wallace Jr |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 5577 Whittaker Rd, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053803312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101002558 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lionel Wallace Jr, 1887 Savannah Ln, Ypsilanti, MI 48198-3678 Ph: (734) 395-9282 | Lionel Wallace Jr, 5577 Whittaker Rd, Ypsilanti, MI 48197-9752 Ph: (734) 395-9282 |
Jennifer Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Ypsilanti, MI 48197 Phone: 734-528-9760 Fax: 734-528-9761 | |
Mary Lee Beauregard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-2409 | |
Lynn Rebekah Maas, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1055 Cornell Rd, Ypsilanti, MI 48197 Phone: 734-487-2890 Fax: 734-485-2892 | |
Leah Staley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1055 Cornell Rd, Ypsilanti, MI 48197 Phone: 734-487-2890 | |
Mrs. Alyssia Mcdonough-utley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1055 Cornell Rd, Ypsilanti, MI 48197 Phone: 734-487-2890 Fax: 734-485-2892 | |
Kerri Torzewski, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5570 Whittaker Rd, Ypsilanti, MI 48197 Phone: 734-482-1200 |