Individual provider · Type 1 NPI
Molly Wallace
Speech-Language Assistant · Gold Canyon, AZ
NPI number
1619868171
Active
Practice location
10327 E Rising Sun Pl
Gold Canyon, AZ 85118-5800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
About NPI 1619868171
Molly Wallace's National Provider Identifier is 1619868171, issued on Jul 14, 2025. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Gold Canyon, AZ. The record was last updated on Jul 14, 2025.