National Provider Identifier
Alyssa Wallace, M.S.SLP
Alyssa Wallace, M.S.SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Wayland, NY and a listed phone number of (607) 765-1700.
Profile Overview
- NPI
- 1588049506
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 21, 2015
- Last Updated
- April 18, 2020
Practice Location
- 2350 Route 63
- Wayland, NY 14572-9509
Phone: (607) 765-1700
Mailing Address
- 8864 Warner RD
- Wayland, NY 14572-9387
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1588049506
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Alyssa
- Credential
- M.S.SLP
- Mailing Street Address
- 8864 Warner RD
- Mailing City
- Wayland
- Mailing State
- NY
- Mailing ZIP Code
- 14572-9387
- Mailing Country
- US
- Mailing Phone
- (607) 765-1700
- Practice Street Address
- 2350 Route 63
- Practice City
- Wayland
- Practice State
- NY
- Practice ZIP Code
- 14572-9509
- Practice Country
- US
- Practice Phone
- (607) 765-1700
- Enumeration Date
- July 21, 2015
- Last Updated
- April 18, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)