Individual
MS. CATHERINE L WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
170 17TH ST STE B, PACIFIC GROVE, CA 93950-7201
(831) 318-0558
Mailing address
170 17TH ST STE B, PACIFIC GROVE, CA 93950-7201
(831) 318-0558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27865
CA
235Z00000X
Speech-Language Pathologist
D7898365
CA
Other
Enumeration date
07/05/2019
Last updated
06/07/2022
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