Mrs Hannah Wallace, MED, MS | |
1079 Alexis Ave Ne, Corydon, IN 47112 | |
(812) 596-0047 | |
Not Available |
Full Name | Mrs Hannah Wallace |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1079 Alexis Ave Ne, Corydon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770927030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 22005554A (Indiana) | Primary |
Provider Name | Small Talk Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609533256 PECOS PAC ID: 7810368131 Enrollment ID: O20230125001164 |
Mailing Address | Practice Location Address |
---|---|
Mrs Hannah Wallace, MED, MS 1079 Alexis Ave Ne, Corydon, IN 47112-8402 Ph: (812) 596-0047 | Mrs Hannah Wallace, MED, MS 1079 Alexis Ave Ne, Corydon, IN 47112 Ph: (812) 596-0047 |
Brianne Nicole Damron, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 Beechmont Dr Ne, Corydon, IN 47112 Phone: 812-738-8127 | |
Miss Brooke Kailey Anderson, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 115 Capitol Blvd, Corydon, IN 47112 Phone: 618-697-2477 | |
Blue River Services, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1365 N Old Highway 135, Corydon, IN 47112 Phone: 812-738-2408 Fax: 812-738-6281 | |
Mary Ross, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1310 Green Acres Dr Sw, Corydon, IN 47112 Phone: 812-972-5839 | |
Megan Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 Beechmont Dr Ne, Corydon, IN 47112 Phone: 812-738-8127 | |
Christiana Bierbaum, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 Beechmont Dr Ne, Corydon, IN 47112 Phone: 812-738-8127 | |
My Duyen Mikeal, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 150 Beechmont Dr Ne, Corydon, IN 47112 Phone: 812-738-0550 |