Lionel Wallace Valid NPI

Individual provider · Speech-Language Pathologist · Ypsilanti, MI

NPI

1053803312

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

7101002558 (MI)

Sex

Male

Sole proprietor

Yes

Enumerated

2018-06-03

Last updated

2018-06-03