Brandy Wallace, CCC-SLP

Speech-Language Pathologist · Jasper, AL

Individual Active NPI

NPI number 1801607049

Practice location

1000 Highway 78 W
Jasper, AL 35501-3655
Phone
(205) 471-5713

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NPI record

NPI
1801607049
Entity type
Individual (Type 1)
Enumeration date
January 16, 2025
Last updated
January 16, 2025
Certified
January 16, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 14490583 AL

About Brandy Wallace

Brandy Wallace, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1000 Highway 78 W, Jasper, AL 35501-3655. The NPI number 1801607049 was assigned on January 16, 2025 and the record was last updated on January 16, 2025.

Brandy Wallace lists a license in the registry: #14490583 (AL) 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 Brandy Wallace, CCC-SLP?

The NPI number is 1801607049.

What is the phone number of Brandy Wallace?

The phone number listed for the practice location is (205) 471-5713.

Where is Brandy Wallace located?

1000 Highway 78 W, Jasper, AL 35501-3655.

What is the taxonomy code for Brandy 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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