| Mrs Kathleen Peterson Wallace, MA, CCC-SLP | |
|
425 Mclillie Ln, Covington, TN 38019-6413 | |
| (901) 476-7918 | |
| Not Available |
| Full Name | Mrs Kathleen Peterson Wallace |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 425 Mclillie Ln, Covington, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154507820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP 0000000512 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathleen Peterson Wallace, MA, CCC-SLP 425 Mclillie Ln, Covington, TN 38019-6413 Ph: (901) 476-7918 | Mrs Kathleen Peterson Wallace, MA, CCC-SLP 425 Mclillie Ln, Covington, TN 38019-6413 Ph: (901) 476-7918 |
Rachel Hill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1992 Highway 51 S, Covington, TN 38019 Phone: 901-476-1820 | |
Ms. Angela Renee Glass, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1992 Highway 51 S, Covington, TN 38019 Phone: 901-384-9752 | |
Michelle Washington, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1580 Highway 51 S, Covington, TN 38019 Phone: 423-622-1551 | |
Lisa Stimpson, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1580 Highway 51 S, Covington, TN 38019 Phone: 423-622-1551 | |
Mrs. Jessica Cottrell, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1992 Highway 51 S, Covington, TN 38019 Phone: 901-476-1820 | |
Tarcilla L. Serrano, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1992 Highway 51 S, Covington, TN 38019 Phone: 901-476-1820 Fax: 901-476-0863 |