Wallace, Tina Louise
Wallace, Tina Louise is an individual health care provider with primary practice located at 1000 Highway 78 W , Jasper AL 35501-3655. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wallace, Tina Louise can be contacted via phone (205) 512-1260.Contact Information
Primary practice address
1000 Highway 78 W
Jasper AL 35501-3655
Phone: (205) 512-1260
Fax: (844) 269-8087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3541 | Alabama |
Profile Details
| NPI number | 1750044327 |
|---|---|
| LBN Legal business name | Wallace, Tina Louise |
| Credentials | ALC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2021 |
| Last updated | Oct 20th, 2021 - about 5 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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