Individual provider · Type 1 NPI

Elizabeth Wallace, PhD, CCC

Speech-Language Pathologist · Dallas, TX

NPI number 1104033513 Active

Practice location

8215 Westchester Drive, Suite 234
Dallas, TX 75225-6103

Fax (214) 368-7765

Mailing address

8215 Westchester Dr, Suite 234
Dallas, TX 75225-6103

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X14038 (TX)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1104033513

Elizabeth Wallace, PhD, CCC's National Provider Identifier is 1104033513, issued on May 16, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.