MARIE WALLACE (NPI# 1710269519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710269519 |
| Entity Type | Individual |
| Full Name | MARIE WALLACE |
| Practice Address |
077 Worthington Point Road Berlin CT 06037 |
| Mailing Address |
77 Worthington Point Road Berlin CT 06037 |
| Practice Telephone | 8607268929 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548525934 | Marie L. Wallace | Rehabilitation Practitioner | 3606 North Roncho Dr, Suite 102, Las Vegas, NV 89130 | 2012-07-11 |
| 1033591045 | Marie Renee Wallace | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2015-06-25 |
| Street Address |
077 WORTHINGTON POINT ROAD |
| City | BERLIN |
| State | CT |
| Zip Code | 06037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| 1205014255 | Eob II Inc | Durable Medical Equipment & Medical Supplies | 51-59 Chamberlan Highway, Kensington, CT 06037 | 2008-02-01 |
| Find all providers in zip 06037 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503851 | Linda Ann Riley | Speech-Language Pathologist | 6 Pelican Ct, Berlin, MD 21811-1864 | 2020-03-19 |
| 1710542279 | Kimberly A Mourlas | Speech-Language Pathologist | 100 Buckingham Rd, Berlin, MD 21811-1499 | 2019-05-09 |
| 1609346493 | Monica Lyn Perella | Speech-Language Pathologist | 9815 Seahawk Rd, Berlin, MD 21811-2956 | 2018-12-05 |
| 1912477738 | Jamie Elaine Kelly | Speech-Language Pathologist | 11318 Showell School Rd, Berlin, MD 21811-3250 | 2018-12-05 |
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1205224847 | Jacqueline Mullet | Speech-Language Pathologist | 6108 County Road 77, Berlin, OH 44610 | 2015-01-06 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1609119494 | Carol Chrysanthis | Speech-Language Pathologist | 18 White Sail Cir, Berlin, MD 21811-1514 | 2013-04-01 |
| 1003172123 | Mollee M. Nosek | Speech-Language Pathologist | 8 Keyes Rd, Berlin, MA 01503-1655 | 2012-04-03 |
| 1740486877 | Linda Ann Poulin | Speech-Language Pathologist | 396 Champlain St, Berlin, NH 03570-2313 | 2007-06-25 |
| Find all providers in BERLIN | ||||
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| 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.