Search › New York › 235Z00000X
Marisa Wallace, M.S. CCC-SLP
NPI 1952015844 · on the registry since 2023 · sole proprietor
Practice
- Address
- 220 Irving Ave
Brooklyn, NY 11237 - Phone
- (718) 574-0252
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York