National Provider Identifier

Christine Elizabeth Wallace, MS CCC-SLP

Christine Elizabeth Wallace, MS CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Greece, NY and a listed phone number of (585) 723-2140.

NPI 1497719421Greece, NYSpeech-Language Pathologist

Profile Overview

NPI
1497719421
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 14, 2006
Last Updated
July 08, 2007

Practice Location

  • 550 Latona RD
  • Greece, NY 14626-2700

Phone: (585) 723-2140

Mailing Address

  • 351 Lowden Point RD
  • Rochester, NY 14612-1241

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1497719421
Entity Type
Individual
Last Name
Wallace
First Name
Christine
Middle Name
Elizabeth
Name Prefix
Mrs.
Credential
MS CCC-SLP
Mailing Street Address
351 Lowden Point RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-1241
Mailing Country
US
Mailing Phone
(585) 720-1366
Practice Street Address
550 Latona RD
Practice City
Greece
Practice State
NY
Practice ZIP Code
14626-2700
Practice Country
US
Practice Phone
(585) 723-2140
Enumeration Date
April 14, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)