Individual
BECKY WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1305 OLD 8 RD, LADYSMITH, WI 54848-9457
(715) 415-5241
Mailing address
1305 OLD 8 RD, LADYSMITH, WI 54848-9457
(715) 415-5241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3680-154
WI
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029239
—
WI
Enumeration date
06/06/2012
Last updated
10/15/2021
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