SAMANTHA WALLACE

SPEECH THERAPY GROUP, LLC.

Dr SAMANTHA WALLACE is a female medical professional, specializing in Qualified Speech Language Pathologist. She graduated in 2013.

Contact

SPEECH THERAPY GROUP, LLC.

100 CUMMINGS CTR
135H
BEVERLY
MA
019156127

Tel: 9789270172

SAMANTHA WALLACE Information

Npi 1962815431
Pac Id 8921226127
Professional Enrollment Id I20140901000036
Last Name WALLACE
First Name SAMANTHA
Middle Name
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Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty QUALIFIED SPEECH LANGUAGE PATHOLOGIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name SPEECH THERAPY GROUP, LLC.
Group Practice Pac Id 4183714462
Number Of Group Practice Members 6
Line 1 Street Address 100 CUMMINGS CTR
Line 2 Street Address 135H
Marker Of Address Line 2 Suppression
City BEVERLY
State MA
Zip Code 019156127
Phone Number 9789270172
Hospital Affiliation Ccn 1
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Hospital Affiliation Lbn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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