Brieanna Wallace

Speech-Language Pathologist · Port St Lucie, FL

Individual Active NPI

NPI number 1962145276

Practice location

10975 SW Pacini Way
Port St Lucie, FL 34987-6306
Phone
(954) 319-9976

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NPI record

NPI
1962145276
Entity type
Individual (Type 1)
Enumeration date
April 14, 2022
Last updated
April 14, 2022
Certified
April 14, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

About Brieanna Wallace

Brieanna Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 10975 SW Pacini Way, Port St Lucie, FL 34987-6306. The NPI number 1962145276 was assigned on April 14, 2022 and the record was last updated on April 14, 2022.

Frequently asked questions

What is the NPI number of Brieanna Wallace?

The NPI number is 1962145276.

What is the phone number of Brieanna Wallace?

The phone number listed for the practice location is (954) 319-9976.

Where is Brieanna Wallace located?

10975 SW Pacini Way, Port St Lucie, FL 34987-6306.

What is the taxonomy code for Brieanna 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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