Janice Leigh Wallace, MA, CCC-SLP/L
Speech-Language Pathologist · Eddyville, IL
Practice location
74 Old Home RdEddyville, IL 62928-9734
- Phone
- (618) 672-4300
NPI record
- NPI
- 1710241633
- Entity type
- Individual (Type 1)
- Enumeration date
- June 25, 2012
- Last updated
- June 25, 2012
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
146008090 | IL |
About Janice Wallace
Janice Leigh Wallace, MA, CCC-SLP/L is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 74 Old Home Rd, Eddyville, IL 62928-9734. The NPI number 1710241633 was assigned on June 25, 2012 and the record was last updated on June 25, 2012.
Janice Wallace lists a license in the registry: #146008090 (IL) 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 Janice Leigh Wallace, MA, CCC-SLP/L?
The NPI number is 1710241633.
What is the phone number of Janice Wallace?
The phone number listed for the practice location is (618) 672-4300.
Where is Janice Wallace located?
74 Old Home Rd, Eddyville, IL 62928-9734.
What is the taxonomy code for Janice 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.