Individual
LACEY N WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SUDBROOK LN STE A, PIKESVILLE, MD 21208-4184
(443) 918-5575
Mailing address
136 GREENMEADOW DR, LUTHERVILLE TIMONIUM, MD 21093-3407
(443) 248-7767
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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