Robin Sue Wallace, SLP is a
Speech-language Pathologist based in Licking, Missouri. Robin Sue Wallace is licensed to practice in Missouri (license number 2021034135) and her current practice location is
17674 W Highway 32, Licking, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 201-8534.
NPI number for Robin Sue Wallace is 1720755283 and her current mailing address is 17674 W Highway 32, Licking, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720755283.
Healthcare Provider's Profile
Full Name | Robin Sue Wallace |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 17674 W Highway 32, Licking, Missouri |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720755283
- Provider Enumeration Date: 08/24/2021
- Last Update Date: 08/24/2021
Medical Identifiers
Medical identifiers for Robin Sue Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720755283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2021034135 (Missouri) | 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. Robin Sue 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 Address | Practice Location Address |
Robin Sue Wallace, SLP 17674 W Highway 32, Licking, MO 65542-9018 Ph: (573) 201-8534 | Robin Sue Wallace, SLP 17674 W Highway 32, Licking, MO 65542-9018 Ph: (573) 201-8534 |
Reviews and Comments