Individual provider · Type 1 NPI

Breanna Wallace

Speech-Language Pathologist · Forest Hills, NY

NPI number 1538575873 Active

Practice location

9130 Metropolitan Ave
Forest Hills, NY 11375-6671

Call (718) 286-4700 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X025278 (NY)

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 1538575873

Breanna Wallace's National Provider Identifier is 1538575873, issued on Jul 8, 2014. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Forest Hills, NY. The record was last updated on Dec 12, 2016.