Individual provider · Type 1 NPI

Gwendolyn Deane Wallace, MS-CF, SLP

Speech-Language Pathologist · Hattiesburg, MS

NPI number 1730770207 Active

Practice location

4805 W 4th St
Hattiesburg, MS 39402-1019

Call (601) 270-6968 Map

Fax (601) 758-0982

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XS-4735 (MS)

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 1730770207

Gwendolyn Deane Wallace, MS-CF, SLP's National Provider Identifier is 1730770207, issued on Jan 28, 2021. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jan 28, 2021.