Individual provider · Type 1 NPI

Vivian Dyanne Wallace, M.ED.

Speech-Language Pathologist · Lawrenceville, GA

NPI number 1821163023 Active

Practice location

735 Longleaf Blvd, Suite A
Lawrenceville, GA 30045-8460

Call (770) 995-2378 Map

Fax (678) 377-9272

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP000631 (GA)

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 1821163023

Vivian Dyanne Wallace, M.ED.'s National Provider Identifier is 1821163023, issued on Nov 22, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 8, 2007.