Marie Wallace, - Speech-Language Pathologist in Berlin, CT

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Marie Wallace, is a Speech-language Pathologist based in Berlin, Connecticut. Marie Wallace is licensed to practice in * (Not Available) (license number ) and her current practice location is 077 Worthington Point Road, Berlin, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 726-8929.

NPI number for Marie Wallace is 1710269519 and her current mailing address is 77 Worthington Point Road, Berlin, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710269519.

Contact Information

Marie Wallace,
077 Worthington Point Road,
Berlin, CT 06037
(860) 726-8929
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMarie Wallace
GenderFemale
SpecialitySpeech-language Pathologist
Location077 Worthington Point Road, Berlin, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710269519
  • Provider Enumeration Date: 09/16/2011
  • Last Update Date: 09/16/2011

Medical Identifiers

Medical identifiers for Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710269519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marie Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marie Wallace,
77 Worthington Point Road,
Berlin, CT 06037

Ph: () -		Marie Wallace,
077 Worthington Point Road,
Berlin, CT 06037

Ph: (860) 726-8929

Reviews and Comments


Speech-Language Pathologist in Berlin, CT

Michelle Amenta, MS CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 95 S Ridge Ln, Berlin, CT 06037
Phone: 860-785-4378    
Your Personal Slp, Llc.
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 95 S Ridge Ln, Berlin, CT 06037
Phone: 860-785-4378    

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