MRS. SUSAN TAYLOR WALLACE


Address: 3409 Connection Dr, Fayetteville, NC 28311-0151
Phone: 9103094089

MRS. SUSAN TAYLOR WALLACE (NPI# 1366646457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366646457
Entity Type Individual
Full Name MRS. SUSAN TAYLOR WALLACE
Practice Address 3409 Connection Dr
Fayetteville
NC 28311-0151
Mailing Address 3409 Connection Rd
Fayetteville
NC 28311-0151
Practice Telephone 9103094089
Practice Fax Number 9104881816
Mailing Telephone 9108221318
Mailing Fax Number 9104881816
Enumeration Date 2007-06-12
Last Update Date 2013-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 2112 NC Speech, Language and Hearing Service Providers

Other Providers SUSAN WALLACE

NPI Name Taxonomy Address Enumeration
1477910792 Susan Anne Wallace Licensed Practical Nurse 44 Beechwood Dr, Manorville, NY 11949-2947 2016-01-16
1376842732 Susan Elizabeth Wallace Dietitian, Registered 102 Carran Dr, Lakeside Park, KY 41017-2233 2011-03-23
1598904427 Susan Leigh Wallace Specialist 103 Windwood Rd, North Syracuse, NY 13212-1956 2009-02-17
1952426025 Susan Wallace Acupuncturist 1009 Solano Ave, # A, Albany, CA 94706-1617 2007-03-20
1447375662 Susan D. Wallace Counselor 166 Pawtucket Avenue, Pawtucket, RI 02860-3811 2007-03-20
1639554769 Susan Wallace Physical Therapist 35 Medical Center Pkwy, Augusta, ME 04330-8160 2015-07-30
1740537687 Susan R Wallace Nurse Practitioner 100 Methodist Blvd, Hattiesburg, MS 39402-1295 2012-08-09
1710247812 Susan Victoria Wallace Marriage & Family Therapist 9685 Hayes St, Riverside, CA 92503-3660 2012-05-22
1427203462 Susan Marie Wallace Occupational Therapist 355 Oak Grove Rd, Spartanburg, SC 29301-2537 2008-11-18
1194985887 Susan Jean Wallace Registered Nurse E Hwy 18, Pine Ridge, SD 57770-1201 2008-06-16

Office Location

Street Address 3409 CONNECTION DR
City FAYETTEVILLE
State NC
Zip Code 28311-0151

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700415205 Marcella Eubanks Physical Therapy Assistant Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 2020-04-06
1144856709 Laura Johnson Occupational Therapy Assistant 424 Mcarthur Rd., Fayetteville, NC 28311 2020-03-16
1326507096 Senior Transportationl.l.c. Private Vehicle 164 Tallstone Dr, Fayetteville, NC 28311 2019-03-13
1154850998 Shannon Marcella Chapman Physical Therapist 4140 Ramsey St Ste 110, Fayetteville, NC 28311 2017-06-06
1306392048 Gena Oxendine Counselor 223 Glenola St, Fayetteville, NC 28311 2016-09-01
1023564010 Rachel Sokolowski Physical Therapy Assistant 231 Treetop Dr., Fayetteville, NC 28311 2016-08-30
1285984765 Towanaka Yvette Bass Home Health Aide 5688 Dobson Drive, Fayetteville, NC 28311 2012-09-12
1255574448 Amy E. Southworth Occupational Therapist 3409 Connection Rd, Fayetteville, NC 28311 2009-04-17
1922246818 Calhoun Family Pharmacy Inc Pharmacy 4417 Ramsey Street, Fayetteville, NC 28311 2009-01-30
1003051210 Us Army Clinic/Center 5587 Lockridge Road, Fayetteville, NC 28311 2008-12-03
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033720297 Madeleine Caroline Montoya Speech-Language Pathologist 1830 Owen Dr Ste 103, Fayetteville, NC 28304-3412 2020-08-12
1215548623 Jasmine Nicole Nile Speech-Language Pathologist 106 S Duncan Ave, Fayetteville, AR 72701-5631 2020-08-11
1669096764 Babbling Bunch Speech Therapy LLC Speech-Language Pathologist 145 Pepperdine Way, Fayetteville, GA 30214-3666 2020-06-04
1598387037 Anne-ashley Hull Speech-Language Pathologist 12905 Randolph Road, Fayetteville, AR 72704 2020-05-07
1801436597 Ruhee Keshwani Speech-Language Pathologist 1343 N Leverett Ave Apt 9, Fayetteville, AR 72703-1756 2020-01-09
1265080121 Tempest Olivia Baker Speech-Language Pathologist 351 Wagoner Dr Ste 341, Fayetteville, NC 28303-4671 2019-09-03
1407403991 Jennifer Nicole Gunderson Speech-Language Pathologist Bayada, 3419a Melrose Rd., Fayetteville, NC 28306-2830 2019-08-20
1275191769 Lindsay Denise Richards Speech-Language Pathologist 3162 W Martin Luther King Blvd Ste 4, Fayetteville, AR 72704-7679 2019-05-30
1285290353 Affinity Therapy Services Speech-Language Pathologist 2755 Bardolino Dr, Fayetteville, NC 28306-4635 2019-05-14
1942766829 Speech Within Reach Speech-Language Pathologist 5594 Linkwood Dr, Fayetteville, NC 28311-0289 2019-02-15
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28311

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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