Eileen L. Wallace

Speech-Language Pathologist · Bowie, MD

Individual Active NPI

NPI number 1073239240

Practice location

2701 Lyn Pl
Bowie, MD 20715-2362
Phone
(301) 602-9121

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NPI record

NPI
1073239240
Entity type
Individual (Type 1)
Enumeration date
October 18, 2022
Last updated
October 18, 2022
Certified
August 16, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 02805 MD

About Eileen Wallace

Eileen L. Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2701 Lyn Pl, Bowie, MD 20715-2362. The NPI number 1073239240 was assigned on October 18, 2022 and the record was last updated on October 18, 2022.

Eileen Wallace lists a license in the registry: #02805 (MD) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eileen L. Wallace?

The NPI number is 1073239240.

What is the phone number of Eileen Wallace?

The phone number listed for the practice location is (301) 602-9121.

Where is Eileen Wallace located?

2701 Lyn Pl, Bowie, MD 20715-2362.

What is the taxonomy code for Eileen Wallace?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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