Wallace, David
Wallace, David is an individual health care provider with primary practice located at 4850 Natomas Blvd Apt 127M , Sacramento CA 95835-1266. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is his primary health care specialty. Wallace, David can be contacted via phone (209) 479-9966.Contact Information
Primary practice address
4850 Natomas Blvd Apt 127M
Sacramento CA 95835-1266
Phone: (209) 479-9966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 32521 | California |
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 3499 | California |
Profile Details
| NPI number | 1174015499 |
|---|---|
| LBN Legal business name | Wallace, David |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2018 |
| Last updated | Aug 30th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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