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Davina Wallace, MS,CCC-SLP
Speech-Language Pathologist in Tampa, Florida
NPI 1316282205

Davina Wallace is a Speech-Language Pathologist based in Tampa, FL. Davina Wallace practices in Tampa, FL and has the professional credentials of MS,CCC-SLP. The NPI Number for Davina Wallace is 1316282205 and holds a License No. (Florida).

The current practice location address for Davina Wallace is 12768 Wood Trail Blvd, Tampa, FL and can be reached out via phone at 813-215-6275 and via fax at 866-636-0443.

Location: 12768 Wood Trail Blvd, Tampa, FL, 33618-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316282205
Provider Name
Davina Wallace
Credential
MS,CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
12768 Wood Trail Blvd, Tampa, FL, 33618-2808
Phone Number
813-215-6275
Fax Number
866-636-0443
Provider Enumeration Date
12/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12768 Wood Trail Blvd
City
Tampa
State
Florida
Zip
33625-5905
Phone Number
813-215-6275
Fax Number
866-636-0443
person
Provider Business Mailing Address Details
Address
12768 Wood Trail Blvd
City
Tampa
State
Florida
Zip
33625-5905
Phone Number
813-215-6275
Fax Number
866-636-0443
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Developmental Therapist
Speciality
-
Taxonomy
222Q00000X
License No.
SA3018 (Florida)
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
person
Provider's Taxonomy Details 2
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
()
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.
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