National Provider Identifier
Judy C Wallace, M.S., SP.ED, LIT
Judy C Wallace, M.S., SP.ED, LIT is listed in the NPPES registry with a primary specialty of Specialist in Amherst, NY and a listed phone number of (716) 819-2400.
Profile Overview
- NPI
- 1710368642
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 16, 2015
- Last Updated
- April 12, 2016
Practice Location
- 4242 Ridge Lea RD
- Amherst, NY 14226-1051
Phone: (716) 819-2400
Mailing Address
- 535 Lein RD
- West Seneca, NY 14224-2443
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1710368642
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Judy
- Middle Name
- C
- Credential
- M.S., SP.ED, LIT
- Mailing Street Address
- 535 Lein RD
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-2443
- Mailing Country
- US
- Mailing Phone
- (716) 674-3062
- Practice Street Address
- 4242 Ridge Lea RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1051
- Practice Country
- US
- Practice Phone
- (716) 819-2400
- Enumeration Date
- June 16, 2015
- Last Updated
- April 12, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)