ELIZABETH KELLER WALLACE

LOUISVILLE, KY
NPI1306178173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KY  09-053)
Enumeration Date2010-02-04
Last Update Date2010-02-04
Business Address
-- ELIZABETH KELLER WALLACE MA, CFY-SLP
6000 HUNTING RD
LOUISVILLE, KY 40222-6308
Phone number: 502-426-1425
Mailing Address
-- ELIZABETH KELLER WALLACE MA, CFY-SLP
4200 MARY KNOLL LN
LOUISVILLE, KY 40207-2118
Phone number: