Individual
MRS. ASHLEY AYSCUE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 COMPUTER DR # B, RALEIGH, NC 27609-6541
(919) 791-3582
Mailing address
3803 COMPUTER DR # B, RALEIGH, NC 27609-6541
(919) 791-3582
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14722
NC
235Z00000X
Speech-Language Pathologist
2103251
NC
Other
Enumeration date
07/01/2020
Last updated
02/10/2025
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