Wallis, Landon Leigh

Wallis, Landon Leigh is an sole proprietor health care provider with primary practice located at 112 Old Lake Cv , Batesville MS 38606-7637. 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. Wallis, Landon Leigh can be contacted via phone (662) 891-2029.

Contact Information

Primary practice address
112 Old Lake Cv Batesville MS 38606-7637
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3022 Mississippi

Profile Details

NPI number 1396945986
LBN Legal business name Wallis, Landon Leigh
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2007
Last updated Jul 19th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396945986 NPPES
Mississippi MEDICAID 0020229

Popular Providers