Individual
MRS. CHRISTINE ELIZABETH WALLACE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
550 LATONA RD, GREECE, NY 14626-2700
(585) 723-2140
Mailing address
351 LOWDEN POINT RD, ROCHESTER, NY 14612-1241
(585) 720-1366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011425-1
NY
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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