Organization
THE AAC SPEECH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE HANTA WALLISCH M.S. CCC-SLP (CHIEF EXECUTIVE OFFICER)
(702) 355-9862
Entity
Organization
Contact information
Practice address
9260 W SUNSET RD STE 204, LAS VEGAS, NV 89148-4903
(702) 355-9862
(888) 316-4826
Mailing address
10300 W CHARLESTON BLVD, SUITE 13-J19, LAS VEGAS, NV 89135-5008
(702) 355-9862
(888) 316-4826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225100000X
Physical Therapist
—
—
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SP-2267
NV
261QA3000X
Augmentative Communication Clinic/Center
—
—
Other
Enumeration date
04/12/2018
Last updated
09/22/2020
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