Mrs Janice Leigh Wallace, MA, CCC-SLP/L - Speech-Language Pathologist in Eddyville, IL

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Mrs Janice Leigh Wallace, MA, CCC-SLP/L is a Speech-language Pathologist based in Eddyville, Illinois. Mrs Janice Leigh Wallace is licensed to practice in Illinois (license number 146008090) and her current practice location is 74 Old Home Rd, Eddyville, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 672-4300.

NPI number for Mrs Janice Leigh Wallace is 1710241633 and her current mailing address is 74 Old Home Rd, Eddyville, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710241633.

Contact Information

Mrs Janice Leigh Wallace, MA, CCC-SLP/L
74 Old Home Rd,
Eddyville, IL 62928-9734
(618) 672-4300
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Janice Leigh Wallace
GenderFemale
SpecialitySpeech-language Pathologist
Location74 Old Home Rd, Eddyville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710241633
  • Provider Enumeration Date: 06/25/2012
  • Last Update Date: 06/25/2012

Medical Identifiers

Medical identifiers for Mrs Janice Leigh Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710241633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 146008090 (Illinois)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. Mrs Janice Leigh 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
Mrs Janice Leigh Wallace, MA, CCC-SLP/L
74 Old Home Rd,
Eddyville, IL 62928-9734

Ph: (618) 672-4300		Mrs Janice Leigh Wallace, MA, CCC-SLP/L
74 Old Home Rd,
Eddyville, IL 62928-9734

Ph: (618) 672-4300

Reviews and Comments


Speech-Language Pathologist in Eddyville, IL


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