JOHANNA WALLACE

CYPRESS, TX
NPI1942406723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA8966)
Enumeration Date2007-06-26
Last Update Date2024-08-18
Business Address
JOHANNA WALLACE MS CCC-SLP
11440 MATZKE RD
CYPRESS, TX 77429-5015
Phone number: 850-512-0156
Mailing Address
JOHANNA WALLACE MS CCC-SLP
13727 WAVERLY CREST CT STE 200
CYPRESS, TX 77429-6831
Phone number: 850-512-0156
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