Individual
ALLIE ELIZABETH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 GATEWAY DR STE C, OPELIKA, AL 36801-6870
(706) 741-4376
Mailing address
2202 GATEWAY DR STE C, OPELIKA, AL 36801-6870
(334) 759-9340
(334) 746-7689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002852
GA
Other
Enumeration date
01/10/2019
Last updated
03/25/2025
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